| Phoenix Wellness Center Llc | |
|
145 N Coast Hwy Newport OR 97365-3195 | |
| (541) 270-9426 | |
| Not Available |
| Full Name | Phoenix Wellness Center Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 145 N Coast Hwy, Newport, Oregon |
| Authorized Official Name and Position | Ashliegh Victoria Ramirez (A&D OUTPATIENT COUNSELOR) |
| Authorized Official Contact | 5412709426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Wellness Center Llc Po Box 2082 Newport OR 97365-0150 Ph: () - | Phoenix Wellness Center Llc 145 N Coast Hwy Newport OR 97365-3195 Ph: (541) 270-9426 |
| NPI Number | 1023654019 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 11/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023654019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
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