Active NPI
Phoenix Rising Now Corporation
- Community/Behavioral Health Agency
- Lake Mary, FL
National Provider Identifier
1336410349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MT2629
- Legal business name
- PHOENIX RISING NOW CORPORATION
- Practice address
- 1540 International Pkwy
Suite 2000
Lake Mary, FL 32746-4713 - Phone
- (407) 267-0415
- NPI assigned
- Jan 23, 2012
- Last updated
- Jan 29, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rhonda Baker, LMFT
- Title
- Executive Director
- Phone
- (407) 267-0415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MT2629 | FL | Primary |
Addresses
Primary practice location
1540 International Pkwy
Suite 2000
Lake Mary, FL 32746-4713
Mailing address
2625 Tweed Run
Sanford, FL 32771-6499
Phone (407) 267-0415
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327795200000",
"number": "1336410349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 TWEED RUN",
"city": "SANFORD",
"state": "FL",
"postal_code": "327716499",
"telephone_number": "407-267-0415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 INTERNATIONAL PKWY",
"address_2": "SUITE 2000",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327464713",
"telephone_number": "407-267-0415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX RISING NOW CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-23",
"last_updated": "2012-01-29",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "RHONDA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "407-267-0415",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "MT2629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
- Andell Y Phillip
- Lane R Phillips, D.O.
- Roz N Phillips
- Paul Thorold Phinney III, PHYSICAL THERAPIST
- Phoenix Home Care Management LLC
- Physician Associates LLC (Orthopedic Institute of Central Florida)
- Physician Associates LLC
- Physician Associates LLC
- Physician Associates LLC
- Physicians Home Visits LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.