PHOENIX RISING WELLNESS LLC NPI 1851053755

NPI Information

NPI: 1851053755
Provider Name: PHOENIX RISING WELLNESS, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
10425 W NORTH AVE STE 311
MILWAUKEE, WI
ZIP 53226
Phone: (414) 436-9918
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PHOENIX RISING WELLNESS, LLC is an adult mental health clinic center in Milwaukee, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PHOENIX RISING WELLNESS, LLC NPI is 1851053755. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10425 W NORTH AVE STE 311
MILWAUKEE, WI
ZIP 53226-400
Phone: (414) 436-9918

The provider's authorized official is Carolyn Morris .
The authorized official title is Owner and has the following contact phone number (414) 436-9918.

The enumeration date for this NPI number is 10/7/2021 and was last updated on 6/29/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	104100000X	Social Worker		No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	261QM0850X	Clinic/Center	Adult Mental Health	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: 4/28/2024

NPI Synchronization or Removal

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