Organization
PHOENIX WELLNESS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL K DUNCAN LCSW (DIRECTOR OF CLINICAL SERVICES)
(270) 943-1851
Entity
Organization
Contact information
Practice address
1030 SHIVE LN, BOWLING GREEN, KY 42103-8037
(270) 943-1851
Mailing address
2702 INDUSTRIAL DR APT 610, BOWLING GREEN, KY 42101-4154
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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