Phoenix Rising Psychotherapy Center PLLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

PHOENIX RISING PSYCHOTHERAPY CENTER PLLC

Practice address

816 W Canal St S
Belle Glade, FL 33430-2942

Phone

(561) 502-1500

NPI assigned

Dec 10, 2019

Organization subpart

No

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

Authorized official

Name

Raquel Lumia, LMHCNPI 1467720011

Title

Owner

Phone

(561) 502-1500

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Raquel Lumia, M.A., M.S., LMHC

  • Mental Health Counselor
  • Belle Glade, FL
  • NPI 1467720011
  NPD Authorized official

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1760029623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 ROYAL PALM BEACH BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334119165",
            "telephone_number": "561-502-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 W CANAL ST S",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334302942",
            "telephone_number": "561-502-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING PSYCHOTHERAPY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "LUMIA",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-502-1500",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Jesus Perez, M.D.
• Patrice Petion, ARNP
• Jesula Petit
• Ketely Philistin, NP
• Allaix Philogene, MD
• Physicians Park Medical Group Inc
• Positive Black Investors of Properties,Inc
• Precious Angels Ppec Inc.
• Premier Associates for the Healthcare of Women LLC
• Philip L Provenzale, DDS

• Developmental Disabilities Clinic/Center in Belle Glade, FL
• Providers in Belle Glade, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.