Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Counseling and Wellness, LLC

Organization Clinical Social Worker · NPI 1154932473

Phoenix Counseling and Wellness, LLC is a Clinical Social Worker in Willoughby, Ohio. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

35104 Euclid Ave Ste 306
Willoughby, OH 44094-4566
Phone: (440) 571-5009
Fax: (440) 571-4850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1154932473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Lockett — Clinical Therapist/Owner · (440) 571-5009
NPI enumeratedAugust 11, 2020
Last updated in NPPESOctober 27, 2022
Certification dateOctober 27, 2022
Mailing address35104 Euclid Ave Ste 306, Willoughby, OH 44094-4566

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