| Phoenix Therapy Center, Llc | |
|
402 6th Ave Sw Bowman ND 58623-4506 | |
| (701) 206-0955 | |
| Not Available |
| Full Name | Phoenix Therapy Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 402 6th Ave Sw, Bowman, North Dakota |
| Authorized Official Name and Position | Melissa A. Buchholz (OWNER) |
| Authorized Official Contact | 7015233285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Therapy Center, Llc 602 1st St Nw Bowman ND 58623-4461 Ph: (701) 206-0955 | Phoenix Therapy Center, Llc 402 6th Ave Sw Bowman ND 58623-4506 Ph: (701) 206-0955 |
| NPI Number | 1285344291 |
|---|---|
| Provider Enumeration Date | 11/30/2022 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285344291 | NPI | - | NPPES |
| 1467842294 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Able Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Main St, Bowman, ND 58623 Phone: 701-523-5844 | |
Phoenix Therapy Center Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 402 6th Ave Sw, Bowman, ND 58623 Phone: 701-206-0955 | |
Dakota Southwestern Wellness, P. L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 4th St Sw, Bowman, ND 58623 Phone: 701-523-6985 Fax: 701-279-7185 |