# THE PHOENIX COLLECTIVE MENTAL HEALTH & WELLNESS PLLC

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

## Provider details

- **NPI number:** 1750296273
- **Authorized official:** MS. TRACIE NALLEY PMHNP (OWNER)
- **Authorized official phone:** (203) 508-4616

## Contact information

- **Practice address:** 1315 MOUTH OF THE CREEK RD, BLOUNTS CREEK, NC 27814-9428
- **Practice address phone:** (203) 508-4616
- **Mailing address:** 1315 MOUTH OF THE CREEK RD, BLOUNTS CREEK, NC 27814-9428
- **Mailing address phone:** (203) 508-4616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2026
- **Last updated:** 08/18/2026