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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 1497255343 | 05 |
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 |
Street Address |
35104 EUCLID AVE STE 306 |
City | WILLOUGHBY |
State | OH |
Zip Code | 44094-4566 |
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 |
Find all providers in zip 44094 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | WILLOUGHBY |
Zip Code | 44094 |
Please comment or provide details below to improve the information on PHOENIX COUNSELING AND WELLNESS, LLC.
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.