Phs Outpatient Behavioral Health
LBN: Providence Health Services, Inc
Phs Outpatient Behavioral Health is an health care organization with primary practice located at 1140 Varnum St Ne Ste 100 , Washington DC 20017. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty.
Providence Health Services, Inc can be contacted via phone (202) 854-7623, or through Lomax, Mitchell via phone (667) 234-2926.
Contact Information
Primary practice address
1140 Varnum St Ne Ste 100
Washington DC 20017
Phone: (202) 854-7623
Fax: (202) 854-7616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | HFD01-0212 | District of Columbia |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | HFD01-0212 | District of Columbia |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | HFD01-0212 | District of Columbia |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | HFD01-0212 | District of Columbia |
| Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X | HFD01-0212 | District of Columbia |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | HFD01-0212 | District of Columbia |
Profile Details
| NPI number | 1609031632 |
|---|---|
| LBN Legal business name | Providence Health Services, Inc |
| DBA Doing business as | Phs Outpatient Behavioral Health |
| Authorized official | Lomax, Mitchell |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 18th, 2008 |
| Last updated | Oct 20th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609031632 | NPPES |
| Maryland | MEDICAID | 985415100 |
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