| Phoenix Wellness Group, Llc | |
|
4813 Ridge Rd Ste 113-1 Douglasville GA 30134-6117 | |
| (689) 218-0771 | |
| Not Available |
| Full Name | Phoenix Wellness Group, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4813 Ridge Rd Ste 113-1, Douglasville, Georgia |
| Authorized Official Name and Position | Michele Pinellas (OWNER) |
| Authorized Official Contact | 6892180771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Wellness Group, Llc 4813 Ridge Rd Ste 113-1 Douglasville GA 30134-6117 Ph: (689) 218-0771 | Phoenix Wellness Group, Llc 4813 Ridge Rd Ste 113-1 Douglasville GA 30134-6117 Ph: (689) 218-0771 |
| NPI Number | 1649043183 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 11/06/2023 |
| Certification Date | 11/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649043183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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