Phoenix Center for Health and Wellness LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PHOENIX CENTER FOR HEALTH AND WELLNESS LLC

Practice address

222 Philadelphia Pike Ste 12
Wilmington, DE 19809

Phone

(302) 543-5321

Fax

(888) 801-2676

NPI assigned

Feb 13, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lakeetra McClaine Josey, PHD, APRN, PMHNP-BCNPI 1801042320

Title

Medical Director

Phone

(302) 298-3818

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lakeetra McClaine Josey, PHD, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, DE
  • NPI 1801042320
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1548760960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PHILADELPHIA PIKE STE 12",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198093166",
            "telephone_number": "302-543-5321",
            "fax_number": "888-801-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PHILADELPHIA PIKE STE 12",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19809",
            "telephone_number": "302-543-5321",
            "fax_number": "888-801-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CENTER FOR HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2021-02-19",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "JOSEY",
        "authorized_official_first_name": "LAKEETRA",
        "authorized_official_middle_name": "MCCLAINE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "302-298-3818",
        "authorized_official_credential": "PHD, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Elisabeth Phillips, OTR/L
• Linda L Phillips
• Mikelle Phillips, MD
• Nicole Phillips, CADC
• Amanda Phipps, RN, MSN
• Phoenix Rehabilitation and Health Services of Delaware Inc
• Phyllis E. Chambers, O.D.
• Physical Therapy, Corp.
• Physician Management Services of Delaware, LLC
• Physician's Mobile X-Ray, Inc

• Substance Use Disorder Rehabilitation Clinic/Center in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.