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Phoenix Wellness Llc
VA Clinic/Center in Fort Mill, South Carolina
NPI 1780348789

Phoenix Wellness Llc is a VA Clinic/Center based in Waxhaw, SC and is specialized in VA. Phoenix Wellness Llc practices in Fort Mill, SC. The NPI Number for Phoenix Wellness Llc is 1780348789 and holds a License No. (South Carolina).

The current practice location address for Phoenix Wellness Llc is 1040 Edgewater Corporate Pkwy Ste 106, Fort Mill, SC and can be reached out via phone at 704-609-7334 and via fax at 855-655-3374. You can also correspond with Phoenix Wellness Llc through the mailing address at 1600 CHURCHILL DOWNS DR, WAXHAW, NC - 28173-6627 (mailing address contact number: 704-609-7334).

Location: 1040 Edgewater Corporate Pkwy Ste 106, Fort Mill, SC, 28173-6627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780348789
Provider Name
Phoenix Wellness Llc
Credential
Provider Entity Type
Organization
Address
1040 Edgewater Corporate Pkwy Ste 106, Fort Mill, SC, 28173-6627
Phone Number
704-609-7334
Fax Number
855-655-3374
Provider Enumeration Date
10/26/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1040 Edgewater Corporate Pkwy Ste 106
City
Fort Mill
State
South Carolina
Zip
29707-4526
Phone Number
704-609-7334
Fax Number
855-655-3374
person
Provider Business Mailing Address Details
Address
1600 Churchill Downs Dr
City
Waxhaw
State
North Carolina
Zip
28173-6627
Phone Number
704-609-7334
Fax Number
855-655-3374
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
person
Provider's Taxonomy Details 5
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
251B00000X
License No.
()
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 7
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 8
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 9
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 10
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Prison Health
Taxonomy
261QP2400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 11
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
VA
Taxonomy
261QV0200X
License No.
()
Definition
Definition to come...
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