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

Rising Phoenix Health and Wellness Empowerment Center, LLC

Organization Community/Behavioral Health Agency · NPI 1194411496

Rising Phoenix Health and Wellness Empowerment Center, LLC is a Community/Behavioral Health Agency in Conyers, Georgia. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
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

2395 Wall St SE Ste 170
Conyers, GA 30013-6703
Phone: (404) 200-7754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1543 Lilburn Stone Mountain Rd, Stone Mountain, GA 30087-1851 — (404) 200-7754

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1194411496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samira Smith — Owner · (404) 200-7754
NPI enumeratedApril 11, 2023
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing address1543 Lilburn Stone Mountain Rd, Stone Mountain, GA 30087-1851

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