Victa Llc

LBN: Victa Llc
Victa Llc is an health care organization with primary practice located at 110 Elmwood Ave # A , Providence RI 02907. The organization recently has 12 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Dietary & Nutritional Service Providers / Nutrition, Education, Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Ambulatory Care, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Victa Llc can be contacted via phone (401) 868-0654, or through Donoyan, Alexander via phone (401) 300-5757.

Contact Information

Primary practice address
110 Elmwood Ave # A Providence RI 02907
Phone: (401) 868-0654
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Donoyan, Alexander
Phone: (401) 300-5757

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X
Nursing Service Providers / Ambulatory Care 163WP2201X
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 648.01 Rhode Island
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 648.01 Rhode Island

Profile Details

NPI number 1104317007
LBN Legal business name Victa Llc
DBA Doing business as
Authorized official Donoyan, Alexander
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2018
Last updated Feb 21st, 2019 - 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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