Organization
PHOENIX WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THALIA YVETTE BISHOP PSYD (OWNER/MANAGING MEMBER)
(240) 522-9139
Entity
Organization
Contact information
Practice address
10 E NORTH AVE STE 10, BALTIMORE, MD 21202-4886
(240) 242-9302
(240) 308-8646
Mailing address
10 E NORTH AVE STE 10, BALTIMORE, MD 21202-4886
(240) 242-9302
(240) 308-8646
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
08/15/2023
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