Organization
PHOENIX WELLNESS LLC
Active
Other names
Cicely Holston Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CICELY Y CALVARESI-HOLSTON LPC (OWNER)
(610) 790-4140
Entity
Organization
Contact information
Practice address
2 WOODLAND RD LOWR LEVEL, WYOMISSING, PA 19610-1999
(484) 222-8282
Mailing address
1209 WHITFIELD BLVD, WEST LAWN, PA 19609-1138
(610) 790-4140
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
01/16/2025
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