Phoenix Wellness Group, Llc

LBN: Phoenix Wellness Group, Llc
Phoenix Wellness Group, Llc is an health care organization with primary practice located at 4813 Ridge Rd Ste 113-1 , Douglasville GA 30134-6117. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Phoenix Wellness Group, Llc can be contacted via phone (689) 218-0771, or through Pinellas, Michele via phone (689) 218-0771.

Contact Information

Primary practice address
4813 Ridge Rd Ste 113-1 Douglasville GA 30134-6117
Phone: (689) 218-0771
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pinellas, Michele
Phone: (689) 218-0771

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1649043183
LBN Legal business name Phoenix Wellness Group, Llc
DBA Doing business as
Authorized official Pinellas, Michele
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2023
Last updated Nov 6th, 2023 - 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.

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