Provider Demographics
NPI:1932063682
Name:PHOENIX RISING MENTAL HEALTH, LLC
Entity type:Organization
Organization Name:PHOENIX RISING MENTAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:PHILLIPPI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:571-232-1596
Mailing Address - Street 1:2226 DARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-1390
Mailing Address - Country:US
Mailing Address - Phone:571-232-1596
Mailing Address - Fax:
Practice Address - Street 1:2226 DARLINGTON RD
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-1390
Practice Address - Country:US
Practice Address - Phone:571-232-1596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-15
Last Update Date:2025-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)