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PHOENIX WELLNESS SERVICES LLC
NPI 1720624802
Community/Behavioral Health in Baltimore, MD

Active since November 22, 2019
10 E NORTH AVE STE 10, BALTIMORE, MD 21202(240) 242-9302(240) 308-8646 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2023, Nov 22, 2019 (2 updates tracked since 2019).

About Phoenix Wellness Services Llc NPPES

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

PHOENIX WELLNESS SERVICES LLC (NPI 1720624802) is a healthcare organization registered as a community/behavioral health in Baltimore, Maryland and active in the NPI registry since November 2019. The organization lists Thalia Yvette Bishop, Owner/managing Member, as its authorized official.

NPPES Registry Identity

NPI1720624802
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePHOENIX WELLNESS SERVICES LLC
Location Address10 E NORTH AVE STE 10Baltimore, MD 21202-4886
Mailing Address10 E North Ave Ste 10Baltimore, MD 21202-4886 · (240) 242-9302 · Fax (240) 308-8646
Phone(240) 242-9302
Fax(240) 308-8646
Organization SubpartNo
Authorized OfficialThalia Yvette BishopOwner/managing Member · (240) 522-9139
Enumeration DateNovember 22, 2019
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1720624802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
10 E NORTH AVE STE 10, Baltimore, MD 21202
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THALIA YVETTE BISHOP PSYD
Psychologist
10 E NORTH AVE STE 10
BALTIMORE, MD 21202
Baltimore City (240) 242-9302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Wellness Services LLC's NPI number?

The NPI number for Phoenix Wellness Services LLC is 1720624802. It was assigned to this organization in the NPPES registry on November 22, 2019.

Where is Phoenix Wellness Services LLC located?

Phoenix Wellness Services LLC is located at 10 E North Ave Ste 10, Baltimore, MD 21202. The listed phone number is (240) 242-9302.

What is Phoenix Wellness Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Wellness Services LLC was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.