Phenix Mental Wealth

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PHENIX MENTAL WEALTH

Doing business as

B Unlimited Creative LLC

Practice address

2401 Walnut St Ste 102
Philadelphia, PA 19103-4341

Phone

(267) 624-9421

NPI assigned

Sep 25, 2023

Last updated

Sep 25, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

B UNLIMITED CREATIVE LLCAs reported in NPPES

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

Authorized official

Name

Tiana Phenix

Title

Ceo

Phone

(267) 624-9421

Specialties & licenses 1

Addresses

Other names 1

• B UNLIMITED CREATIVE LLC Doing business as

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1700665353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 SOUTH AVE APT B5",
            "city": "SECANE",
            "state": "PA",
            "postal_code": "190183419",
            "telephone_number": "267-624-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WALNUT ST STE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034341",
            "telephone_number": "267-624-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENIX MENTAL WEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "B UNLIMITED CREATIVE LLC",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "PHENIX",
        "authorized_official_first_name": "TIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-624-9421"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B UNLIMITED CREATIVE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory H. Pharo, M.D.
• Gerald R Phelan, M.D.
• Julie Pauline Phelan, PMHNP-BC
• Dianna Phelps, LAPC
• Katelyn Phelps, D.O.
• Phenomenal Minds Daycare Center LLC
• Phgi Associates LTD
• Phi-Nga Jeannie Le, M.D., P.a.
• Phil. County-Dept. of Health TSM
• Phil's Shoe Stores Inc.

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.