| Phoenix Wellness Center Pllc | |
|
155 N Market St Ste 107 Washington NC 27889-5285 | |
| (252) 481-3809 | |
| Not Available |
| Full Name | Phoenix Wellness Center Pllc |
|---|---|
| Speciality | Counselor |
| Location | 155 N Market St Ste 107, Washington, North Carolina |
| Authorized Official Name and Position | Brandy Jones (OWNER / PROVIDER) |
| Authorized Official Contact | 9192497477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Wellness Center Pllc 209 S Pointe Dr Unit B Winterville NC 28590-9946 Ph: (252) 481-3809 | Phoenix Wellness Center Pllc 155 N Market St Ste 107 Washington NC 27889-5285 Ph: (252) 481-3809 |
| NPI Number | 1073216677 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 03/23/2023 |
| Certification Date | 03/23/2023 |
| Medicare PECOS PAC ID | 6002267424 |
|---|---|
| Medicare Enrollment ID | O20240110003594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073216677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Provider Name | Brandy Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548511157 PECOS PAC ID: 7810348232 Enrollment ID: I20240110004062 |
Port Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Avon Avenue, Washington, NC 27889 Phone: 252-948-1413 Fax: 252-946-1086 | |
Tideland Psychiatric Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1308 Highland Dr, Washington, NC 27889 Phone: 252-946-3666 Fax: 252-974-5499 | |
Generation Y Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1233 Calf Branch Rd, Washington, NC 27889 Phone: 252-402-5075 | |
New Perspective Life Center,inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 John Small Ave, Washington, NC 27889 Phone: 252-494-0275 | |
Eccfnc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 N Bridge St, Washington, NC 27889 Phone: 833-781-6474 Fax: 252-362-0336 | |
United Human Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Carolina Ave, Washington, NC 27889 Phone: 252-702-4984 Fax: 252-948-0059 | |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 Plant St, Washington, NC 27889 Phone: 252-946-7094 |