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Contact Information

PHOENIX RISING BEHAVIORAL THERAPIES PLLC
209 CHRISTIE STREET
LUFKIN, TX75904
 Phone: 936-404-3679
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for PHOENIX RISING BEHAVIORAL THERAPIES PLLC · (Female)

NPI # 1043731359
Status Active
Credentials
Entity Individual
Enumeration date 06/28/2017
Last updated 02/11/2026 - About 4 months ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 1-16-23321
  • TX License # 68436
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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