Phoenix Professional Services

LBN: Phoenix Professional Services
Phoenix Professional Services is an health care organization with primary practice located at 29 Connecticut Blvd , East Hartford CT 06108-3008. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Phoenix Professional Services can be contacted via phone (860) 778-1257, or through Draughn, Tamar via phone (860) 680-9440.

Contact Information

Primary practice address
29 Connecticut Blvd East Hartford CT 06108-3008
Phone: (860) 778-1257
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Draughn, Tamar Licensed Professional Counselor (LPC)
Phone: (860) 680-9440

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 002311 Connecticut

Profile Details

NPI number 1801214986
LBN Legal business name Phoenix Professional Services
DBA Doing business as
Authorized official Draughn, Tamar Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2014
Last updated Jun 19th, 2014 - about 11 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 1801214986 NPPES
Connecticut MEDICAID 008046849

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