Phoenix Counseling And Wellness, Llc

LBN: Phoenix Counseling And Wellness, Llc
Phoenix Counseling And Wellness, Llc is an health care organization with primary practice located at 35104 Euclid Ave Ste 306 , Willoughby OH 44094-4566. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Phoenix Counseling And Wellness, Llc can be contacted via phone (440) 571-5009, or through Lockett, Jacqueline Nashelle via phone (440) 571-5009.

Contact Information

Primary practice address
35104 Euclid Ave Ste 306 Willoughby OH 44094-4566
Phone: (440) 571-5009
Fax: (440) 571-4850
Website:
Map and Directions
Authorized official contact:
Name: Lockett, Jacqueline Nashelle MSSA, LSW
Phone: (440) 571-5009

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1154932473
LBN Legal business name Phoenix Counseling And Wellness, Llc
DBA Doing business as
Authorized official Lockett, Jacqueline Nashelle MSSA, LSW
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2020
Last updated Oct 27th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154932473 NPPES
Ohio MEDICAID 1497255343

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