PHOENIX WELLNESS CENTERS, INC (NPI# 1023298403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023298403 |
| Entity Type | Organization |
| Organization Name | PHOENIX WELLNESS CENTERS, INC |
| Other Organization Name | PHOENIX WELLNESS CENTER |
| Practice Address |
1203 E Eighth St Traverse City MI 49686-2938 |
| Practice Telephone | 2319388000 |
| Practice Fax Number | 2319380547 |
| Mailing Telephone | 2319388000 |
| Mailing Fax Number | 2319380547 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2011-06-20 |
| Authorized Official Name | DR. CHARLES HOWARD LANGE (PRESIDENT) |
| Authorized Official Telephone | 2319388000 |
| Authorized Official Credential | D.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NN1001X |
Chiropractor Specialization: Nutrition |
2301007576 | MI | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Phoenix Wellness Center | Former Legal Business Name - Organization |
| Street Address |
1203 E EIGHTH ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-2938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306219068 | Abigail Ellsworth | Acupuncturist | 1203 E Eighth St, Traverse City, MI 49686-2938 | 2015-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| Taxonomy Code | 111NN1001X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Nutrition |
| Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient’s prescription and over the counter medications are recorded and analyzed. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083256390 | Spine & Wellness Institute, Pllc | Chiropractor | 160 Division St Ste E, Coldwater, MI 49036-2914 | 2019-10-09 |
| 1720564149 | Great Lakes Chiropractic & Movement Pllc | Chiropractor | 4215 Miller Rd # A8, Flint, MI 48507-1299 | 2018-07-18 |
| 1871851337 | Sarver Chiropractic PC | Chiropractor | 723 Kenmoor Ave Se, Grand Rapids, MI 49546-2370 | 2012-05-02 |
| 1205068269 | Hi-tec Total Wellness, PC | Chiropractor | 2645 Bluewater St, Ypsilanti, MI 48198-1000 | 2009-08-10 |
| 1164653788 | Jon Dale Morey | Chiropractor | 200 E River Rd, Flushing, MI 48433-2138 | 2009-07-30 |
| 1356508808 | Lisa Sutherland Haase | Chiropractor | 2800 N East St, Lansing, MI 48906-3327 | 2008-05-21 |
| 1255511184 | Chiropractic & Alternative Health Services Pllc | Chiropractor | 37875 W. Twelve Mile Rd, Bldg. C Ste-200, Farmington Hills, MI 48331-2462 | 2007-11-08 |
| 1114134483 | Paul Robert Stiles | Chiropractor | 43269 Grand River Ave, Novi, MI 48375-1737 | 2007-05-17 |
| 1134249303 | Michael Kapraun | Chiropractor | 12023 Seymour Rd, 627, Montrose, MI 48457-9782 | 2007-03-30 |
| 1518094614 | Charles Howard Lange | Chiropractor | 5152 Us 31 N, Acme, MI 49610 | 2007-02-27 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
Please comment or provide details below to improve the information on PHOENIX WELLNESS CENTERS, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.