Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Phoenix Wellness, LLC

Organization Clinical Social Worker · NPI 1538608690

Phoenix Wellness, LLC provides Clinical Social Worker services 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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