Rising Phoenix Mental Wellness, PLLC
Rising Phoenix Mental Wellness, PLLC is a Psychiatric/Mental Health Nurse Practitioner in Conneaut Lake, Pennsylvania. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
145 Water StConneaut Lake, PA 16316-7279
Phone: (814) 230-7921
Fax: (814) 925-9348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|
Record details
| NPI number | 1659208072 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Katelyn McKibben — Psychiatric Nurse Practitioner · (814) 230-7921 |
| NPI enumerated | May 7, 2026 |
| Last updated in NPPES | May 7, 2026 |
| Certification date | May 7, 2026 |
| Mailing address | 145 Water St, Conneaut Lake, PA 16316-7279 |