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

Risen Phoenix LLC

Organization Mental Health Counselor · NPI 1922815422

Risen Phoenix LLC is a Mental Health Counselor in Detroit, Michigan. Registered with an NPI since 2024.

In the registry since
2024
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

15338 Virgil St
Detroit, MI 48223-1442
Phone: (313) 702-2261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1922815422
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ravon Dawson — Owner · (313) 702-2261
NPI enumeratedDecember 17, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address15338 Virgil St, Detroit, MI 48223-1442

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