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Organization

PHOENIX WELLNESS, LLC

Active
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Organization

PHOENIX WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN E SURRATT LCSW (OWNER)
(309) 989-7282
Entity
Organization

Contact information

Practice address
2020 W WAR MEMORIAL DR, STE 304, PEORIA, IL 61614-6754
(309) 989-7282
Mailing address
105 LEXINGTON CT, EAST PEORIA, IL 61611-5547

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149016007
IL

Other

Enumeration date
02/21/2017
Last updated
02/21/2017
About Stedi
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