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PHOENIX RISING BEHAVIORAL HEALTH, LLC
NPI 1770163990
Marriage & Family Therapist in Senoia, GA

Active since April 12, 2021
120 VILLAGE CIR, SENOIA, GA 30276(470) 447-2129(470) 447-2139 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2023, Oct 6, 2023, Apr 12, 2021 (3 updates tracked since 2021).

About Phoenix Rising Behavioral Health, Llc NPPES

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

PHOENIX RISING BEHAVIORAL HEALTH, LLC (NPI 1770163990) is a healthcare organization registered as a marriage & family therapist in Senoia, Georgia and active in the NPI registry since April 2021. The organization lists Samantha Anni Skurja, Owner, as its authorized official.

NPPES Registry Identity

NPI1770163990
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NamePHOENIX RISING BEHAVIORAL HEALTH, LLC
Location Address120 VILLAGE CIRSenoia, GA 30276-3374
Mailing Address120 Village CirSenoia, GA 30276-3374 · (470) 447-2129 · Fax (470) 447-2139
Phone(470) 447-2129
Fax(470) 447-2139
Organization SubpartNo
Authorized OfficialSamantha Anni SkurjaOwner · (470) 447-2129
Enumeration DateApril 12, 2021
Last NPPES UpdateFebruary 12, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1770163990 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.
120 VILLAGE CIR, Senoia, GA 30276
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Other Identifiers 1

Medicaid003250580AGA

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

Other Providers at the Same Location NPPES

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

KRISTINE STANGLE
Counselor (Mental Health)
120 VILLAGE CIR
SENOIA, GA 30276
Coweta County (470) 447-2129

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 Rising Behavioral Health, LLC's NPI number?

The NPI number for Phoenix Rising Behavioral Health, LLC is 1770163990. It was assigned to this organization in the NPPES registry on April 12, 2021.

Where is Phoenix Rising Behavioral Health, LLC located?

Phoenix Rising Behavioral Health, LLC is located at 120 Village Cir, Senoia, GA 30276. The listed phone number is (470) 447-2129.

What is Phoenix Rising Behavioral Health, 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 Rising Behavioral Health, LLC was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.