Phoenix Rising Therapeutic Services LCSW PC
Phoenix Rising Therapeutic Services LCSW PC provides Clinical Social Worker services in Alfred Station, New York. Licensed in New York. Registered with an NPI since 2015.
- Licensed in
- NY
- In the registry since
- 2015
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5295 E Valley RdAlfred Station, NY 14803-9715 Not confirmed with CMS for 11 years — call before visiting
Phone: (607) 587-8260
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence R045595-1 (NY) |
|---|
Record details
| NPI number | 1003295395 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Beth McDonough — Sole Owner · (607) 587-8260 |
| NPI enumerated | May 20, 2015 |
| Last updated in NPPES | May 20, 2015 |
| Mailing address | 5295 E Valley Rd, Alfred Station, NY 14803-9715 |
Other providers in Alfred Station
-
Tara Calhoun, LCSW
591 State Route 244, Alfred Station, NY 14803-9766 · (412) 400-1953