Provider Demographics
NPI:1790542876
Name:CURIOUS PHOENIX THERAPY, PLLC
Entity Type:Organization
Organization Name:CURIOUS PHOENIX THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELAGH
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:252-242-2146
Mailing Address - Street 1:2024 WATERSCAPE WAY # 297
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-7097
Mailing Address - Country:US
Mailing Address - Phone:252-242-2146
Mailing Address - Fax:
Practice Address - Street 1:23 HARBOUR WALK
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-8902
Practice Address - Country:US
Practice Address - Phone:252-242-2146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health