Organization
PHOENIX WELLNESS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE PINELLAS (OWNER)
(689) 218-0771
Entity
Organization
Contact information
Practice address
4813 RIDGE RD STE 113-1, DOUGLASVILLE, GA 30134-6117
(689) 218-0771
Mailing address
4813 RIDGE RD STE 113-1, DOUGLASVILLE, GA 30134-6117
(689) 218-0771
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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