PHOENIX THERAPY LLC
NPI 1053168393
Marriage & Family Therapist in Cheshire, CT

Active since May 03, 2024
422 HIGHLAND AVENUE, BUILDING C SUITE 1, CHESHIRE, CT 06410(800) 820-8210 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX THERAPY LLC (NPI 1053168393), doing business as Crystal Mitchell Counseling, is a healthcare organization registered as a marriage & family therapist in Cheshire, Connecticut and active in the NPI registry since May 2024. The organization lists Crystal Shanatai Mitchell-brivett, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1053168393
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NamePHOENIX THERAPY LLC
Location Address422 HIGHLAND AVENUE, BUILDING C SUITE 1Cheshire, CT 06410-2526
Mailing Address31 Hawthorne Ave, DerbyCt, CT 06418-1101 · (800) 820-8210
Organization SubpartNo
Authorized OfficialCrystal Shanatai Mitchell-brivettManaging Member · (203) 898-4265
Enumeration DateMay 3, 2024
NPPES CertifiedMay 3, 2024
NPI 1053168393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
422 HIGHLAND AVENUE, Cheshire, CT 06410

Other Names 1

Former Legal Business NameCrystal Mitchell Counseling

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Therapy LLC's NPI number?

The NPI number for Phoenix Therapy LLC is 1053168393. It was assigned to this organization in the NPPES registry on May 3, 2024. The provider was formerly known as Crystal Mitchell Counseling.

Where is Phoenix Therapy LLC located?

Phoenix Therapy LLC is located at 422 Highland Avenue Building C Suite 1, Cheshire, CT 06410. The listed phone number is (800) 820-8210.

What is Phoenix Therapy LLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Therapy LLC was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.