Phoenix Wellness Group, Llc | |
1030 Shive Ln Bowling Green KY 42103-8037 | |
(270) 943-1851 | |
Not Available |
Full Name | Phoenix Wellness Group, Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1030 Shive Ln, Bowling Green, Kentucky |
Authorized Official Name and Position | Jill K Duncan (DIRECTOR OF CLINICAL SERVICES) |
Authorized Official Contact | 2709431851 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Phoenix Wellness Group, Llc 2702 Industrial Dr Apt 610 Bowling Green KY 42101-4154 Ph: () - | Phoenix Wellness Group, Llc 1030 Shive Ln Bowling Green KY 42103-8037 Ph: (270) 943-1851 |
NPI Number | 1831435379 |
---|---|
Provider Enumeration Date | 01/02/2013 |
Last Update Date | 01/02/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831435379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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