Phoenix Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PHOENIX WELLNESS LLC

Doing business as

Cicely Holston Counseling

Practice address

2 Woodland Rd Lowr Level
Wyomissing, PA 19610-1999

Phone

(484) 222-8282

NPI assigned

Jul 23, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Cicely Y Calvaresi-Holston, LPCNPI 1548843121

Title

Owner

Phone

(610) 790-4140

Specialties & licenses 1

Addresses

Other names 1

• Cicely Holston Counseling Doing business as

Locations

Practitioners 1

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

• Cicely Calvaresi-Holston, LPC

  • Professional Counselor
  • Wyomissing, PA
  • NPI 1548843121
  NPD Authorized official

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1871321661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 WHITFIELD BLVD",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091138",
            "telephone_number": "610-790-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WOODLAND RD LOWR LEVEL",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101999",
            "telephone_number": "484-222-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "CALVARESI-HOLSTON",
        "authorized_official_first_name": "CICELY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-790-4140",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cicely Holston Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cicely Holston Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter H. Thomasph.D. and Associates
• Tory R Peterson
• Dennis Michael Petricoin Sr., DDS
• Makayla Dove Pfister
• Jessica A Pham, MA RD LDN
• Barbara Jeanne Piazza, PHD
• Guy N Piegari Jr., MD
• Zlatta Pierre-Francois
• Kasey Lee Pierson, M.D
• Rodolfo Pineda

• Mental Health Clinic/Center (Including Community Mental Health Center) in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.