PHOENIX COUNSELING AND WELLNESS, LLC


Address: 35104 Euclid Ave Ste 306, Willoughby, OH 44094-4566
Phone: 2168159285

PHOENIX COUNSELING AND WELLNESS, LLC (NPI# 1154932473) 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) 1154932473
Entity Type Organization
Organization Name PHOENIX COUNSELING AND WELLNESS, LLC
Practice Address 35104 Euclid Ave Ste 306
Willoughby
OH 44094-4566
Practice Telephone 2168159285
Mailing Telephone 2168159285
Enumeration Date 2020-08-11
Last Update Date 2020-08-11
Authorized Official Name MS. JACQUELINE NASHELLE LOCKETT (CLINICAL THERAPIST/OWNER)
Authorized Official Telephone 2168159285
Authorized Official Credential MSSA, LSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH 1497255343 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1851914816 Phoenix Counseling and Wellness, LLC Clinic/Center 604 35th Ave, Moline, IL 61265-6174 2020-05-26
1427588557 Phoenix Counseling and Wellness, LLC Clinic/Center 646 Old Phoenix Rd Ste I, Eatonton, GA 31024-5007 2017-06-12

Office Location

Street Address 35104 EUCLID AVE STE 306
City WILLOUGHBY
State OH
Zip Code 44094-4566

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518574367 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 36596 Euclid Ave, Willoughby, OH 44094 2020-09-25
1679111322 Megan King Nurse Practitioner 4078 Erie Street, Unit B, Willoughby, OH 44094 2019-12-12
1124661525 Mind and Body Infusion Therapies, LLC Clinic/Center 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 2019-10-18
1679125637 Christina Maria Chandler Family Medicine 39021 Signature Circle, Willoughby, OH 44094 2019-07-10
1467920595 Rachel Curry Specialist/Technologist 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 2018-11-07
1437649753 Katie Lauren Greenaway Registered Nurse 5103 Robinhood Dr, Willoughby, OH 44094 2018-05-11
1003346131 Heather Marie Hayes Licensed Practical Nurse 38882 Mentor Ave., Willoughby, OH 44094 2017-06-12
1609305028 Ann Marie Mason Counselor 38882 Mentor Avenue, Willoughby, OH 44094 2017-06-08
1285173005 Mattie Diann Towns-scott Social Worker 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 2017-02-13
1447797329 Therese Benz General Acute Care Hospital 96000 Euclid Ave., Willoughby, OH 44094 2017-01-30
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952902405 Cunningham Counseling and Consultation, LLC Clinic/Center 5986 Abbey Church Rd, Dublin, OH 43017-2541 2020-11-02
1386243939 Tree of Life Healthcare LLC Clinic/Center 3043 Kiwatha Rd, Youngstown, OH 44511-3003 2020-10-23
1245838630 Midwest Counseling Centers of Ohio Clinic/Center 8940 Kingsridge Dr Ste 106, Dayton, OH 45458-1632 2020-10-16
1467066597 Psychworks LLC Clinic/Center 2630 Keysport Ln, Cincinnati, OH 45231-1146 2020-09-05
1881208189 Child Anxiety Center Clinic/Center 4555 Lake Forest Dr Ste 650, Blue Ash, OH 45242-3789 2020-09-03
1104439397 Pathway To Serenity Clinic/Center 115 W Front St Unit 8, Perrysburg, OH 43551-1473 2020-08-26
1205446754 Right Direction Behavioral Services Clinic/Center 17325 Euclid Ave Ste 2013, Cleveland, OH 44112-1250 2020-08-07
1003424573 Purposed Journey Counseling LLC Clinic/Center 11578 Norbourne Dr, Cincinnati, OH 45240-2152 2020-07-21
1407474737 Life Cycles Development Center LLC Clinic/Center 1507 Copley Rd, Akron, OH 44320-2501 2020-07-13
1003433848 Liberty Counseling and Consulting LLC Clinic/Center 4769 Free Pike, Dayton, OH 45416-1111 2020-06-27
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Competitor

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City WILLOUGHBY
Zip Code 44094

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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