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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

NPI # 1043731359
LBN Legal business name PHOENIX RISING BEHAVIORAL THERAPIES PLLC
Authorized official KYLE HANES - (BEHAVIOR ANALYST AND COUNSELOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2017
Last updated 02/11/2026 - About 4 months ago
Identifiers
TX License # 1-16-23321
TX License # 68436
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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