PHOENIX WELLNESS CENTER
NPI 1700349552
Counselor - Professional in Princeton, NJ
- Organization
- Counselor
- Professional
About PHOENIX WELLNESS CENTER
This page provides the complete NPI Profile along with additional information for Phoenix Wellness Center, a provider established in Princeton, New Jersey operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1700349552 assigned on April 2019. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Phoenix Wellness Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Phoenix Wellness Center. The authorized official of this NPI record is Poonam Patel Lpc (Owner)
- NPI
- 1700349552 Verify this NPI
- Provider Legal Name
- PDP ASSOCIATES LLC
- Other Organization Name
- PHOENIX WELLNESS CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3490 US HIGHWAY 1 BUILDING 16 SUITE 112 PRINCETON, NJ 08540
- Location Phone
- (732) 479-1519
- Mailing Address
- 7 BEAUMONT PL WESTAMPTON, NJ 08060
- Mailing Phone
- (732) 986-7663
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-09-2019
- Last Update Date
- 05-27-2020
- Code Navigator
Location Map
Secondary Locations
- 3000 Atrium Way
Mount Laurel, NJ 08054
(732) 479-1519 - 14 Farber Rd Ste 112
Princeton, NJ 08540
(732) 479-1519
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700349552, enumerated as an "organization" on April 09, 2019.
The provider is located at 3490 US HIGHWAY 1 BUILDING 16 SUITE 112 PRINCETON, NJ 08540 and the phone number is (732) 479-1519.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
