Phoenix Wellness, Llc

LBN: Phoenix Wellness, Llc
Phoenix Wellness, Llc is an health care organization with primary practice located at 2020 W War Memorial Dr Ste 304, Peoria IL 61614-6754. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Phoenix Wellness, Llc can be contacted via phone (309) 989-7282, or through Surratt, Erin E via phone (309) 989-7282.

Contact Information

Primary practice address
2020 W War Memorial Dr Ste 304 Peoria IL 61614-6754
Phone: (309) 989-7282
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Surratt, Erin E Licensed Clinical Social Worker (LCSW)
Phone: (309) 989-7282

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149016007 Illinois

Profile Details

NPI number 1538608690
LBN Legal business name Phoenix Wellness, Llc
DBA Doing business as
Authorized official Surratt, Erin E Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2017
Last updated Feb 21st, 2017 - about 7 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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