RISEN PHOENIX LLC
NPI 1922815422
Counselor - Mental Health in Detroit, MI

Active since December 17, 2024
15338 VIRGIL ST, DETROIT, MI 48223(313) 702-2261 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Risen Phoenix Llc NPPES

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

RISEN PHOENIX LLC (NPI 1922815422) is a healthcare organization registered as a mental health in Detroit, Michigan and active in the NPI registry since December 2024. The organization lists Ravon Monique Dawson, Owner, as its authorized official.

NPPES Registry Identity

NPI1922815422
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameRISEN PHOENIX LLC
Location Address15338 VIRGIL STDetroit, MI 48223-1442
Mailing Address15338 Virgil StDetroit, MI 48223-1442 · (313) 702-2261
Organization SubpartNo
Authorized OfficialRavon Monique DawsonOwner · (313) 702-2261
Enumeration DateDecember 17, 2024
NPPES CertifiedDecember 17, 2024
NPI 1922815422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
15338 VIRGIL ST, Detroit, MI 48223

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

Other Providers at the Same Location NPPES

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

In Home Supportive Care
15338 VIRGIL ST
DETROIT, MI 48223

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 Risen Phoenix LLC's NPI number?

The NPI number for Risen Phoenix LLC is 1922815422. It was assigned to this organization in the NPPES registry on December 17, 2024.

Where is Risen Phoenix LLC located?

Risen Phoenix LLC is located at 15338 Virgil St, Detroit, MI 48223. The listed phone number is (313) 702-2261.

What is Risen Phoenix LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Risen Phoenix LLC was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.