OrganizationActive
Risen Phoenix LLC
NPI 1922815422 · Mental Health Counselor · Detroit, MI
Provider details
- NPI number
- 1922815422
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ravon Dawson, Owner(313) 702-2261
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15338 Virgil St
Detroit, MI 48223-1442
Phone: (313) 702-2261
Street-level locationGet directions
Mailing address
15338 Virgil St
Detroit, MI 48223-1442
Registry dates
- Enumerated
- 2024-12-17
- Last updated
- 2024-12-17
- Certified
- 2024-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.