PHOENIX CENTER FOR HEALTH AND WELLNESS LLC – NPI #1548760960
Clinic/Center

PHOENIX CENTER FOR HEALTH AND WELLNESS LLC is an AHC clinic located in WILMINGTON, DE. NPPES has assigned the NPI number 1548760960 to PHOENIX CENTER FOR HEALTH AND WELLNESS LLC on February 13, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR0405X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation, Substance Use Disorder

The NPI profile was previously updated about 5 years ago on Feb 19, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHOENIX CENTER FOR HEALTH AND WELLNESS LLC below.

NPI Profile for
PHOENIX CENTER FOR HEALTH AND WELLNESS LLC

NPI Number
1548760960
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHOENIX CENTER FOR HEALTH AND WELLNESS LLC
Primary location
222 PHILADELPHIA PIKE STE 12
WILMINGTON, DE 19809
Phone: (302) 543-5321 Fax: (888) 801-2676
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LAKEETRA JOSEY
MEDICAL DIRECTOR
Phone: (302) 298-3818
Updated
Certification Date
Jan 08, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder (Primary)		 DE

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.