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

Phoenix Wellness, LLC

Organization Clinical Social Worker · NPI 1538608690

Phoenix Wellness, LLC is a Clinical Social Worker in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
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

2020 W War Memorial Dr Ste 304
Peoria, IL 61614-6754
Phone: (309) 989-7282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149016007 (IL)

Record details

NPI number1538608690
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erin Surratt — Owner · (309) 989-7282
NPI enumeratedFebruary 21, 2017
Last updated in NPPESFebruary 21, 2017
Mailing address105 Lexington Ct, East Peoria, IL 61611-5547

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