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

Phoenix Wellness LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1780348789

Phoenix Wellness LLC is an Addiction (Substance Use Disorder) Counselor in Fort Mill, South Carolina. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
11
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

1040 Edgewater Corporate Pkwy Ste 106
Fort Mill, SC 29707-4526
Phone: (704) 609-7334
Fax: (855) 655-3374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Case Manager/Care Coordinator Taxonomy 171M00000X
Case Management Agency Taxonomy 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Primary Care Clinic/Center Taxonomy 261QP2300X
Prison Health Clinic/Center Taxonomy 261QP2400X
VA Clinic/Center Taxonomy 261QV0200X

Record details

NPI number1780348789
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Smith — Owner · (704) 609-7334
NPI enumeratedOctober 26, 2021
Last updated in NPPESOctober 26, 2021
Certification dateOctober 26, 2021
Mailing address1600 Churchill Downs Dr, Waxhaw, NC 28173-6627

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