# PHOENIX WELLNESS AND REHABIILITATION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265235733
- **Authorized official:** DR. LATRISHA MCCAULEY DC (OWNER)
- **Authorized official phone:** (678) 591-3873

## Contact information

- **Practice address:** 2959 HERRON LN SW, ATLANTA, GA 30349-1501
- **Practice address phone:** (678) 591-3873
- **Mailing address:** 2959 HERRON LN SW, ATLANTA, GA 30349-1501
- **Mailing address phone:** (678) 591-3873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | — |

## Other

- **Enumeration date:** 03/31/2025
- **Last updated:** 03/31/2025