Blue Phoenix Wellness & Counseling, INC
NPI #1831040005 in Round Lake, Illinois
Provider Information
- NPI Number
- 1831040005
- Entity Type
- Organization
- Organization Name
- Blue Phoenix Wellness & Counseling, INC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 4, 2026
- Last Updated
- Feb 4, 2026
Practice Location
- Address
- 24586 W OAK ST
- City
- Round Lake
- State
- Illinois
- ZIP Code
- 60073-1428
- Phone
- (224) 250-1228
Authorized Official
- Name
- MRS. MARIYA BLUE, LCSW
- Title
- MENTAL HEALTH THERAPIST/PRESIDENT
- Phone
- (224) 250-1228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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