Phoenix Mental Health Llc

LBN: Phoenix Mental Health Llc
Phoenix Mental Health Llc is an health care organization with primary practice located at 100 S Boggs Ave , Virginia Beach VA 23452-1705. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Phoenix Mental Health Llc can be contacted via phone (757) 453-4017, or through Mason, Richard M via phone (757) 453-4017.

Contact Information

Primary practice address
100 S Boggs Ave Virginia Beach VA 23452-1705
Phone: (757) 453-4017
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mason, Richard M PHD, LPC, ACS
Phone: (757) 453-4017

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 0701003229 Virginia

Profile Details

NPI number 1437590601
LBN Legal business name Phoenix Mental Health Llc
DBA Doing business as
Authorized official Mason, Richard M PHD, LPC, ACS
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2013
Last updated Jul 22nd, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437590601 NPPES
Virginia Other 1891042438 NPI

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