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

Active since April 11, 2023
2395 WALL ST SE STE 170, CONYERS, GA 30013(404) 200-7754 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2025, Jun 13, 2024, Apr 11, 2023 (3 updates tracked since 2023).

About Rising Phoenix Health And Wellness Empowerment Center, Llc NPPES

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

RISING PHOENIX HEALTH AND WELLNESS EMPOWERMENT CENTER, LLC (NPI 1194411496) is a healthcare organization registered as a community/behavioral health in Conyers, Georgia and active in the NPI registry since April 2023. The organization maintains a secondary practice location in Stone Mountain and lists Samira Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1194411496
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameRISING PHOENIX HEALTH AND WELLNESS EMPOWERMENT CENTER, LLC
Location Address2395 WALL ST SE STE 170Conyers, GA 30013-6703
Mailing Address1543 Lilburn Stone Mountain RdStone Mountain, GA 30087-1851 · (404) 200-7754
Phone(404) 200-7754
Organization SubpartNo
Authorized OfficialSamira SmithOwner · (404) 200-7754
Enumeration DateApril 11, 2023
Last NPPES UpdateSeptember 5, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1194411496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
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.
2395 WALL ST SE STE 170, Conyers, GA 30013
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Secondary Practice Location 1

Location 11543 Lilburn Stone Mountain RdStone Mountain, GA 30087-1851 · Phone (404) 200-7754

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN ARMBRUSTER
Speech-Language Pathologist
2395 WALL ST SE STE 170
CONYERS, GA 30013
Rockdale County (770) 679-1192

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 Rising Phoenix Health And Wellness Empowerment Center, LLC's NPI number?

The NPI number for Rising Phoenix Health And Wellness Empowerment Center, LLC is 1194411496. It was assigned to this organization in the NPPES registry on April 11, 2023.

Where is Rising Phoenix Health And Wellness Empowerment Center, LLC located?

Rising Phoenix Health And Wellness Empowerment Center, LLC is located at 2395 Wall St SE Ste 170, Conyers, GA 30013. The listed phone number is (404) 200-7754.

What is Rising Phoenix Health And Wellness Empowerment Center, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Rising Phoenix Health And Wellness Empowerment Center, LLC was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.