PHOENIX WELLNESS CENTER LLC


Address: 145 N Coast Hwy, Newport, OR 97365-3195
Phone: 5412709426

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).

Provider Overview

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

Taxonomy

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

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 145 N COAST HWY
City NEWPORT
State OR
Zip Code 97365-3195

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City NEWPORT
Zip Code 97365

Improve Information

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Dataset Information

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.

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