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

Phoenix Rising Psychotherapy, LLC

Organization Clinical Social Worker · NPI 1790536167

Phoenix Rising Psychotherapy, LLC is a Clinical Social Worker in Roswell, Georgia. 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.

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Practice location Address checks out

3045 Rivermont Way
Roswell, GA 30076-2981
Phone: (678) 389-5327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1790536167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathryn Kopp — Owner · (678) 389-5327
NPI enumeratedApril 1, 2024
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024
Mailing address1000 Peachtree Industrial Blvd Ste 6144, Suwanee, GA 30024-6737

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