Phoenix Counseling and Wellness, LLC
NPI #1154932473 in Willoughby, Ohio
Provider Information
- NPI Number
- 1154932473
- Entity Type
- Organization
- Organization Name
- Phoenix Counseling and Wellness, LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Aug 11, 2020
- Last Updated
- Oct 27, 2022
Practice Location
- Address
- 35104 EUCLID AVE STE 306
- City
- Willoughby
- State
- Ohio
- ZIP Code
- 44094-4566
- Phone
- (440) 571-5009
Authorized Official
- Name
- MS. JACQUELINE NASHELLE LOCKETT, MSSA, LSW
- Title
- CLINICAL THERAPIST/OWNER
- Phone
- (440) 571-5009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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