OrganizationActive
Phoenix Rising Counseling L.L.C
NPI 1144079518 · Adolescent and Children Mental Health Clinic/Center · Wyoming, MI
Provider details
- NPI number
- 1144079518
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kaymi Hargrove, Llmsw(616) 970-4661
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2521 Woodlake Rd Sw Apt 4
Wyoming, MI 49519-4712
Phone: (616) 970-4661
Approximate (ZIP-level) locationGet directions
Mailing address
2521 Woodlake Rd Sw Apt 4
Wyoming, MI 49519-4712
Registry dates
- Enumerated
- 2024-05-16
- Last updated
- 2024-05-16
- Certified
- 2024-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.