| Phoenix Healing & Wellness Llc | |
|
10 Pearl St Essex Jct VT 05452-3604 | |
| (802) 662-0021 | |
| Not Available |
| Full Name | Phoenix Healing & Wellness Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10 Pearl St, Essex Jct, Vermont |
| Authorized Official Name and Position | Tanya Vyhovsky (MEMBER) |
| Authorized Official Contact | 8026620021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Healing & Wellness Llc 10 Pearl St Essex Jct VT 05452-3604 Ph: (802) 662-0021 | Phoenix Healing & Wellness Llc 10 Pearl St Essex Jct VT 05452-3604 Ph: (802) 662-0021 |
| NPI Number | 1831737444 |
|---|---|
| Provider Enumeration Date | 12/13/2019 |
| Last Update Date | 12/13/2019 |
| Certification Date | 12/13/2019 |
| Medicare PECOS PAC ID | 9133530520 |
|---|---|
| Medicare Enrollment ID | O20201116000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831737444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Tanya Vyhovsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144868860 PECOS PAC ID: 0840620423 Enrollment ID: I20200422001712 |
Melissa Culver Counseling Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 21 Butternut Ct, Essex Jct, VT 05452 Phone: 802-662-3767 |