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GOLDEN PHOENIX WELLNESS CORPORATION
NPI 1679232508
Clinic/Center in Albany, NY

Active since December 08, 2021
600 BROADWAY STE 200-4502, ALBANY, NY 12207(214) 405-5556 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 6, 2022, Dec 8, 2021 (2 updates tracked since 2021).

About Golden Phoenix Wellness Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOLDEN PHOENIX WELLNESS CORPORATION (NPI 1679232508) is a healthcare organization registered as a clinic/center in Albany, New York and active in the NPI registry since December 2021. The organization lists Stephanie Fuller, Co-ceo, as its authorized official.

NPPES Registry Identity

NPI1679232508
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGOLDEN PHOENIX WELLNESS CORPORATION
Location Address600 BROADWAY STE 200-4502Albany, NY 12207-2236
Mailing Address600 Broadway Ste 200-4502Albany, NY 12207-2236
Phone(214) 405-5556
Organization SubpartNo
Authorized OfficialStephanie FullerCo-ceo · (214) 405-5556
Enumeration DateDecember 8, 2021
Last NPPES UpdateJanuary 6, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
✔ NPI 1679232508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedNurse PractitionerTaxonomy 363L00000X
600 BROADWAY STE 200-4502, Albany, NY 12207
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

What is GOLDEN PHOENIX WELLNESS CORPORATION's NPI number?

The NPI number assigned to this healthcare provider is 1679232508, enumerated as an "organization" on December 08, 2021.

Where is the provider located?

The provider is located at 600 BROADWAY STE 200-4502 ALBANY, NY 12207 and the phone number is (214) 405-5556.

What is the provider's specialty?

Clinic/Center with taxonomy code 261Q00000X.