OrganizationActive
Phoenix Wellness LLC
NPI 1780348789 · Multi-Specialty Clinic/Center · Fort Mill, SC
Provider details
- NPI number
- 1780348789
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Smith, Owner(704) 609-7334
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Case Management Agency251B00000X
Agencies
Practice location
1040 Edgewater Corporate Pkwy Ste 106
Fort Mill, SC 29707-4526
Phone: (704) 609-7334
Fax: (855) 655-3374
Approximate (ZIP-level) locationGet directions
Mailing address
1600 Churchill Downs Dr
Waxhaw, NC 28173-6627
Registry dates
- Enumerated
- 2021-10-26
- Last updated
- 2021-10-26
- Certified
- 2021-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.