RISING PHOENIX HEALTH AND WELLNESS EMPOWERMENT CENTER, LLC
NPI 1194411496
Community/Behavioral Health in Conyers, GA

Secondary Locations

• 1543 Lilburn Stone Mountain Rd
  Stone Mountain, GA 30087
  (404) 200-7754

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code

251S00000X

Type

Agencies

Taxonomy Description

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAMIRA SMITH LCSW

Authorized Official Title

OWNER

Authorized Official Phone

(404) 200-7754