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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154932473 | NPPES |
| Ohio | MEDICAID | 1497255343 |
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