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

Phoenix Risings Counseling Center LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1417479056

Phoenix Risings Counseling Center LLC is an Addiction (Substance Use Disorder) Counselor in Irvington, New Jersey. Licensed in New Jersey. Registered with an NPI since 2017.

Licensed in
NJ
In the registry since
2017
Specialties on file
2
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

50 Union Ave Ste 804B
Irvington, NJ 07111-5221
Phone: (770) 568-0619
Fax: (973) 629-1741
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC05717900 (NJ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 37LC00259900 (NJ)

Record details

NPI number1417479056
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynne Holley — Executive Director · (973) 393-0312
NPI enumeratedJuly 14, 2017
Last updated in NPPESAugust 21, 2017
Mailing addressPo Box 358, South Orange, NJ 07079-0358

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