| Phoenix Healing Group | |
|
10 Corporate Cir Ste 201 New Castle DE 19720-2418 | |
| (610) 761-2129 | |
| Not Available |
| Full Name | Phoenix Healing Group |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10 Corporate Cir Ste 201, New Castle, Delaware |
| Authorized Official Name and Position | Lashawn Janell Waters (CEO) |
| Authorized Official Contact | 6107612129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Healing Group 607 Helmsdale Cir New Castle DE 19720-3830 Ph: (610) 761-2129 | Phoenix Healing Group 10 Corporate Cir Ste 201 New Castle DE 19720-2418 Ph: (610) 761-2129 |
| NPI Number | 1215698915 |
|---|---|
| Provider Enumeration Date | 01/04/2022 |
| Last Update Date | 01/04/2022 |
| Certification Date | 01/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215698915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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