| Blue Phoenix Wellness & Counseling, Inc | |
|
24586 W Oak St Round Lake IL 60073-1428 | |
| (224) 250-1228 | |
| Not Available |
| Full Name | Blue Phoenix Wellness & Counseling, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 24586 W Oak St, Round Lake, Illinois |
| Authorized Official Name and Position | Mariya Blue (MENTAL HEALTH THERAPIST/PRESIDENT) |
| Authorized Official Contact | 2242501228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Phoenix Wellness & Counseling, Inc 24586 W Oak St Round Lake IL 60073-1428 Ph: () - | Blue Phoenix Wellness & Counseling, Inc 24586 W Oak St Round Lake IL 60073-1428 Ph: (224) 250-1228 |
| NPI Number | 1831040005 |
|---|---|
| Provider Enumeration Date | 02/04/2026 |
| Last Update Date | 02/04/2026 |
| Certification Date | 02/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831040005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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