Provider Demographics
NPI:1326830993
Name:PHOENIX ARISING THERAPEUTIC SERVICES
Entity type:Organization
Organization Name:PHOENIX ARISING THERAPEUTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:F
Authorized Official - Last Name:HILL-LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, CADC, C-SAT
Authorized Official - Phone:248-945-2700
Mailing Address - Street 1:19135 ADDISON DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2404
Mailing Address - Country:US
Mailing Address - Phone:248-945-2700
Mailing Address - Fax:
Practice Address - Street 1:15924 FENKELL ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48227-1970
Practice Address - Country:US
Practice Address - Phone:313-248-9452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty