Rising Phoenix Health and Wellness Empowerment Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RISING PHOENIX HEALTH AND WELLNESS EMPOWERMENT CENTER, LLC

Practice address

2395 Wall St SE Ste 170
Conyers, GA 30013-6703

Phone

(404) 200-7754

NPI assigned

Apr 11, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samira Smith, LCSW

Title

Owner

Phone

(404) 200-7754

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Morgan Merriweather

  • Counselor
  • Stone Mountain, GA
  • NPI 1033042965
  NPD (past)
• Janika Danae Nash Lightsey

  • Social Worker
  • Duluth, GA
  • NPI 1174108997
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1194411496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 LILBURN STONE MOUNTAIN RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300871851",
            "telephone_number": "404-200-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 WALL ST SE STE 170",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136703",
            "telephone_number": "404-200-7754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1543 Lilburn Stone Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300871851",
            "country_code": "US",
            "telephone_number": "404-200-7754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RISING PHOENIX HEALTH AND WELLNESS EMPOWERMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-200-7754",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonae Perrin Richardson, PA-C
• Renee Marie Richardson, PT,MPT
• Cheryl Hermione Richmond, M.D.
• Cheryl L Riley, IBCLC
• Jessica Rios-Jones, ED.D
• Jorge E Rivera-Kolb, M.D.
• Jazmin Rivera
• Angelo J Rizzo, PT
• Rn4Kidz, LLC
• Jennifer Ro, MD

• Community/Behavioral Health Agency in Conyers, GA
• Providers in Conyers, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.