Organization · Type 2 NPI
Phoenix Wellness LLC
Multi-Specialty Clinic/Center · Fort Mill, SC
NPI number
1780348789
Active
Practice location
1040 Edgewater Corporate Pkwy Ste 106
Fort Mill, SC 29707-4526
Fax (855) 655-3374
Mailing address
1600 Churchill Downs Dr
Waxhaw, NC 28173-6627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Prison Health Clinic/Center | 261QP2400X | None listed |
| VA Clinic/Center | 261QV0200X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
3 other providers at this address
Other multi-specialty clinic/center providers in Fort Mill
About NPI 1780348789
Phoenix Wellness LLC's National Provider Identifier is 1780348789, issued on Oct 26, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Fort Mill, SC. The record was last updated on Oct 26, 2021.