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Phoenix Wellness LLC

Multi-Specialty Clinic/Center in Fort Mill, SC · enumerated 2021 · authorized official David Smith, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780348789

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Registry record

Entity type Organization (Type 2)
Legal business name Phoenix Wellness LLC
Practice address 1040 Edgewater Corporate Pkwy Ste 106, Fort Mill, SC, 29707
Phone (704) 609-7334
Fax (855) 655-3374
Enumeration date Oct 26, 2021
Last updated in NPPES Oct 26, 2021

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
171M00000X Case Manager/Care Coordinator Other Service Providers Secondary
251B00000X Case Management Agency Agencies Secondary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary
261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Secondary
261QP2400X Prison Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QV0200X VA Clinic/Center Ambulatory Health Care Facilities Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name David Smith
Title Owner
Phone (704) 609-7334

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Phoenix Wellness LLC?
NPPES lists David Smith (Owner) as the authorized official for this organization.
What is the NPI number for Phoenix Wellness LLC?
The NPI for Phoenix Wellness LLC is 1780348789, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-10-26.