| Phoenix Therapy Center Pllc | |
|
402 6th Ave Sw Bowman ND 58623-4506 | |
| (701) 206-0955 | |
| Not Available |
| Full Name | Phoenix Therapy Center Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 402 6th Ave Sw, Bowman, North Dakota |
| Authorized Official Name and Position | Melissa A. Buchholz (CEO) |
| Authorized Official Contact | 7012060955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Therapy Center Pllc 602 1st St Nw Bowman ND 58623-4461 Ph: (701) 206-0955 | Phoenix Therapy Center Pllc 402 6th Ave Sw Bowman ND 58623-4506 Ph: (701) 206-0955 |
| NPI Number | 1518653377 |
|---|---|
| Provider Enumeration Date | 04/14/2023 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/25/2023 |
| Medicare PECOS PAC ID | 0143685057 |
|---|---|
| Medicare Enrollment ID | O20230428000805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518653377 | NPI | - | NPPES |
| Provider Name | Melissa A. Buchholz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467842294 PECOS PAC ID: 2567827587 Enrollment ID: I20230426002959 |
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, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare 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 |