Provider Demographics
NPI:1881480812
Name:PHOENIX RISING MENTAL HEALTH SERVICES, PLLC
Entity type:Organization
Organization Name:PHOENIX RISING MENTAL HEALTH SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER/CO-CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPEES
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LLP, CAADC
Authorized Official - Phone:317-432-2553
Mailing Address - Street 1:49396 CHESHIRE LN
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-1262
Mailing Address - Country:US
Mailing Address - Phone:317-432-2553
Mailing Address - Fax:
Practice Address - Street 1:49396 CHESHIRE LN
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-1262
Practice Address - Country:US
Practice Address - Phone:317-432-2553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)