| NPI | 1407624620 | 
|---|---|
| Doing Business As | HAVEN OF THE PHOENIX COUNSELING | 
| Entity Type | Organization | 
| Authorized Contact | CATHERINE GENTRY Owner 832-748-7999  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) | 
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-12-18 | 
| Last Update Date | 2023-12-18 |