| Phoenix Wellness Group, Llc | |
|
1030 Shive Ln Bowling Green KY 42103-8037 | |
| (270) 943-1851 | |
| Not Available |
| Full Name | Phoenix Wellness Group, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1030 Shive Ln, Bowling Green, Kentucky |
| Authorized Official Name and Position | Jill K Duncan (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 2709431851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Wellness Group, Llc 2702 Industrial Dr Apt 610 Bowling Green KY 42101-4154 Ph: () - | Phoenix Wellness Group, Llc 1030 Shive Ln Bowling Green KY 42103-8037 Ph: (270) 943-1851 |
| NPI Number | 1831435379 |
|---|---|
| Provider Enumeration Date | 01/02/2013 |
| Last Update Date | 01/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831435379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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