Active NPI
Phoenix Therapy & Wellness, PLLC
- Mental Health Counselor
- Wilmington, NC
National Provider Identifier
1922691617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PHOENIX THERAPY & WELLNESS, PLLC
- Practice address
- 6902 Myric CT
Wilmington, NC 28411-6144 - Phone
- (845) 282-0515
- NPI assigned
- Feb 15, 2021
- Last updated
- Feb 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Julee Young Llanos, LCMHCA
- Title
- Owner
- Phone
- (845) 282-0515
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
6902 Myric CT
Wilmington, NC 28411-6144
Mailing address
6902 Myric CT
Wilmington, NC 28411-6144
Phone (845) 282-0515
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Wilmington, NC
- NPI 1306437454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613347200000",
"number": "1922691617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6902 MYRIC CT",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284116144",
"telephone_number": "845-282-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6902 MYRIC CT",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284116144",
"telephone_number": "845-282-0515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX THERAPY & WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-15",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A",
"authorized_official_last_name": "LLANOS",
"authorized_official_first_name": "JULEE",
"authorized_official_middle_name": "YOUNG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-282-0515",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCMHCA"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
- Jennifer Marie Phillips, OTRL
- Krystal Phillips
- Sidney Warren Phillips Jr., D.D.S., M.S., P.A.
- Zoie Brianne Phillips, PA-C
- Phoenix Rehabilitation Associates, Inc.
- Phyllis B. Cook, DDS, PA
- Phyllis Coulter Everett (Sapient Health Services)
- Physical Therapy for Life
- Physical Therapy for Women, Inc
- Physical Therapy Services of Wilmington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.