| The Phoenix House Recovery & Wellness Llc. | |
|
139 E Main St Glen Lyon PA 18617-1320 | |
| (570) 262-3268 | |
| (570) 262-3268 |
| Full Name | The Phoenix House Recovery & Wellness Llc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 139 E Main St, Glen Lyon, Pennsylvania |
| Authorized Official Name and Position | Ashlynn Heller (OWNER) |
| Authorized Official Contact | 5702623268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Phoenix House Recovery & Wellness Llc. 139 E Main St Glen Lyon PA 18617-1320 Ph: (570) 262-3268 | The Phoenix House Recovery & Wellness Llc. 139 E Main St Glen Lyon PA 18617-1320 Ph: (570) 262-3268 |
| NPI Number | 1588509947 |
|---|---|
| Provider Enumeration Date | 04/22/2026 |
| Last Update Date | 04/22/2026 |
| Certification Date | 04/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588509947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |