Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Rising Psychotherapy, LLC

Organization Clinical Social Worker · NPI 1790536167

Phoenix Rising Psychotherapy, LLC provides Clinical Social Worker services in Roswell, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3045 Rivermont Way
Roswell, GA 30076-2981
Phone: (678) 389-5327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1790536167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathryn Kopp — Owner · (678) 389-5327
NPI enumeratedApril 1, 2024
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024
Mailing address1000 Peachtree Industrial Blvd Ste 6144, Suwanee, GA 30024-6737

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