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PHOENIX WELLNESS GROUP LLC NPI 1831435379


NPI Information

NPI: 1831435379
Provider Name: PHOENIX WELLNESS GROUP, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1030 SHIVE LN
BOWLING GREEN, KY
ZIP 42103
Phone: (270) 943-1851
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PHOENIX WELLNESS GROUP, LLC is a mental health (including community mental health center) clinic center in Bowling Green, KY. PHOENIX WELLNESS GROUP, LLC NPI is 1831435379. The provider is registered as an organization entity type.

The provider's business location address is:

1030 SHIVE LN
BOWLING GREEN, KY
ZIP 42103-037
Phone: (270) 943-1851

The provider's authorized official is Jill K Duncan .
The authorized official title is Director Of Clinical Services and has the following contact phone number (270) 943-1851.

The enumeration date for this NPI number is 1/2/2013 and was last updated on 1/2/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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