PHOENIX WELLNESS CENTER LLC (NPI# 1023654019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023654019 |
Entity Type | Organization |
Organization Name | PHOENIX WELLNESS CENTER LLC |
Practice Address |
145 N Coast Hwy Newport OR 97365-3195 |
Mailing Address |
Po Box 2082 Newport OR 97365-0150 |
Practice Telephone | 5412709426 |
Enumeration Date | 2019-11-25 |
Last Update Date | 2019-11-25 |
Authorized Official Name | MISS ASHLIEGH VICTORIA RAMIREZ (A&D OUTPATIENT COUNSELOR) |
Authorized Official Telephone | 5412709426 |
Authorized Official Credential | CADC I |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 175T00000X | Peer Specialist | Other Service Providers | ||
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720572043 | Phoenix Wellness Center LLC | Counselor | 2060 W Whispering Wind Dr Ste 270, Phoenix, AZ 85085 | 2018-06-20 |
1316135643 | Phoenix Wellness Center LLC | General Practice | 142 Mitchell St Sw, Suite 200, Atlanta, GA 30303-3439 | 2007-10-11 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Phoenix Wellness Center LLC | 5379 Heatherton Ln., Highlands Ranch, CO 80130 |
Oregon Corporations, Companies and Business Names | PHOENIX WELLNESS CENTER LLC | 588 W Olive St, Newport, OR 97365 |
Street Address |
145 N COAST HWY |
City | NEWPORT |
State | OR |
Zip Code | 97365-3195 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
1710527999 | Costal Support Services | Case Management | 125 Se Mast Ave #55, Lincoln City, OR 97365 | 2020-01-15 |
1821650169 | Darren Lee Taylor | Peer Specialist | 35 North Cottage Street, Newport, OR 97365 | 2019-07-08 |
1518405091 | The City of Newport 60 Plus Activity Center | Clinic/Center | 20 Se 2nd St, Newport, OR 97365 | 2017-02-06 |
1982020384 | Kristine Elizabeth Foley | Dental Hygienist | 123 Se Douglas Street, Family Dental, Newport, OR 97365 | 2014-03-10 |
1245655075 | Catherine Marie Vickers | Registered Nurse | 36 Sw Nye Street, Lincoln County Health and Human Services, Newport, OR 97365 | 2014-03-04 |
1114295342 | Donna Cressy | Physical Therapist | 140 Nw 4th Street, Newport, OR 97365 | 2011-12-02 |
1063647949 | Wrazen & Rash PC, Physicians | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
1194950048 | Stephen Macbain Burns, Md, PC | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
Find all providers in zip 97365 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134770332 | Kenneth Wood | Counselor | 1376 Fruitvale Rd # Day, Newport, OR 97365-9671 | 2019-09-28 |
1063901866 | Sheryl M Patzer | Counselor | 332 Sw Coast Hwy, Newport, OR 97365-4928 | 2018-05-07 |
1164810628 | Dorinda Howden | Counselor | 529 Ne 62nd St, Newport, OR 97365-1268 | 2015-01-06 |
1164837852 | Catherine Rossi | Counselor | 2858 Pine Hill Rd, Newport, VT 05855-9293 | 2014-06-22 |
1558607390 | Stephen Allen Picken | Counselor | 547 Sw 7th St, Newport, OR 97365-4909 | 2012-12-26 |
1982923728 | Sean D Ryan | Counselor | 856 Upper Quarry Rd, Newport, VT 05855-8878 | 2010-05-19 |
1538383211 | R. Alan Aiken | Counselor | 477 Lane Rd, Newport, VT 05855-8749 | 2007-04-12 |
1023139037 | Elizabeth J Hayes | Counselor | Codac Inc, 93 Thames St, Newport, RI 02840 | 2007-04-03 |
1578696753 | Lyla Hill | Counselor | 132 Ne 15th St Ste D, Newport, OR 97365-2210 | 2007-03-14 |
1104978824 | Pend Oreille County | Counselor | 105 South Garden Ave, Newport, WA 99156-5055 | 2007-01-16 |
Find all providers in NEWPORT |
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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.