Phoenix Rising Behavioral Health, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PHOENIX RISING BEHAVIORAL HEALTH, LLC

Practice address

120 Village Cir
Senoia, GA 30276-3374

Phone

(470) 447-2129

Fax

(470) 447-2139

NPI assigned

Apr 12, 2021

Organization subpart

No

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

Authorized official

Name

Samantha Anni Skurja, LMFTNPI 1013479690

Title

Owner

Phone

(470) 447-2129

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Samantha Anni Skurja, LAMFT

  • Marriage & Family Therapist
  • Senoia, GA
  • NPI 1013479690
  NPD Authorized official
• Kristine Stangle

  • Mental Health Counselor
  • Senoia, GA
  • NPI 1134927973
  NPD
• Benjamin Thomas Marchman, MS, APC

  • Professional Counselor
  • Blue Ridge, GA
  • NPI 1902692387
  NPD (past)

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1770163990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 VILLAGE CIR",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302763374",
            "telephone_number": "470-447-2129",
            "fax_number": "470-447-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 VILLAGE CIR",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302763374",
            "telephone_number": "470-447-2129",
            "fax_number": "470-447-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "SKURJA",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "ANNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-447-2129",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003250580A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Senoia, GA
• Providers in Senoia, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.