Phoenix Health Professional Group, Llc

LBN: Phoenix Health Professional Group, Llc
Phoenix Health Professional Group, Llc is an health care organization with primary practice located at 99 Wayland Ave Ste 100 , Providence RI 02906-4314. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Nursing Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Phoenix Health Professional Group, Llc can be contacted via phone (617) 771-1154, or through Goloskie, Joel K via phone (617) 771-1154.

Contact Information

Primary practice address
99 Wayland Ave Ste 100 Providence RI 02906-4314
Phone: (617) 771-1154
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goloskie, Joel K
Phone: (617) 771-1154

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X

Profile Details

NPI number 1063037364
LBN Legal business name Phoenix Health Professional Group, Llc
DBA Doing business as
Authorized official Goloskie, Joel K
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2020
Last updated Jun 11th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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