Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phoenix Risen, LLC

Organization Community/Behavioral Health Agency · NPI 1750117784

Phoenix Risen, LLC is a Community/Behavioral Health Agency in Louisville, Kentucky. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2112 Ratcliffe Ave
Louisville, KY 40210-2252
Phone: (804) 651-2688
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1750117784
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chiquita Conner — Owner · (804) 651-2688
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 8, 2024
Mailing address6709 Rebecca Ln, Louisville, KY 40258-3011

Other providers in Louisville