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THE PHOENIX REBORN LLC
NPI 1366124778
Counselor - Professional in Parkville, MD

Active since August 04, 2023
18 PARKWIND CT, PARKVILLE, MD 21234(443) 840-8236 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About The Phoenix Reborn Llc NPPES

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

THE PHOENIX REBORN LLC (NPI 1366124778) is a healthcare organization registered as a professional in Parkville, Maryland and active in the NPI registry since August 2023. The organization lists Hava Leah Jarosz, Therapist/member, as its authorized official.

NPPES Registry Identity

NPI1366124778
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameTHE PHOENIX REBORN LLC
Location Address18 PARKWIND CTParkville, MD 21234-4237
Mailing Address18 Parkwind CtParkville, MD 21234-4237
Phone(443) 840-8236
Organization SubpartNo
Authorized OfficialHava Leah JaroszTherapist/member · (443) 840-8236
Enumeration DateAugust 4, 2023
Last NPPES UpdateAugust 7, 2023
NPPES CertifiedAugust 7, 2023
✔ NPI 1366124778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
18 PARKWIND CT, Parkville, MD 21234
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 The Phoenix Reborn LLC's NPI number?

The NPI number for The Phoenix Reborn LLC is 1366124778. It was assigned to this organization in the NPPES registry on August 4, 2023.

Where is The Phoenix Reborn LLC located?

The Phoenix Reborn LLC is located at 18 Parkwind Ct, Parkville, MD 21234. The listed phone number is (443) 840-8236.

What is The Phoenix Reborn LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for The Phoenix Reborn LLC was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.