Organization
PHOENIX COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L MICHELLE HOWLETT LCPC (LEAD THERAPIST/OWNER)
(309) 363-2060
Entity
Organization
Contact information
Practice address
604 35TH AVE, MOLINE, IL 61265-6174
(309) 363-2060
Mailing address
53 LONGVIEW DR, GENESEO, IL 61254-9111
(309) 363-2060
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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