Phoenix Health Professional Group, Llc - Mental Health Clinic in Providence, RI

Phoenix Health Professional Group, Llc is a mental health clinic (Psychologist - Addiction (substance Use Disorder)) in Providence, Rhode Island. The current practice location for Phoenix Health Professional Group, Llc is 99 Wayland Ave Ste 100, Providence, Rhode Island. For appointments, you can reach them via phone at (617) 771-1154. The mailing address for Phoenix Health Professional Group, Llc is 1301 Atwood Ave Ste 100, Johnston, Rhode Island and phone number is (617) 771-1154.

Phoenix Health Professional Group, Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1063037364. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (617) 771-1154.

Contact Information

Phoenix Health Professional Group, Llc
99 Wayland Ave Ste 100
Providence
RI 02906-4314
(617) 771-1154
Not Available

Mental Health Clinic Profile

Full NamePhoenix Health Professional Group, Llc
SpecialityPsychologist - Addiction (substance Use Disorder)
Location99 Wayland Ave Ste 100, Providence, Rhode Island
Authorized Official Name and PositionJoel K Goloskie (COUNSEL)
Authorized Official Contact6177711154
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Phoenix Health Professional Group, Llc
1301 Atwood Ave Ste 100
Johnston
RI 02919-4933

Ph: (617) 771-1154
Phoenix Health Professional Group, Llc
99 Wayland Ave Ste 100
Providence
RI 02906-4314

Ph: (617) 771-1154

NPI Details:

NPI Number1063037364
Provider Enumeration Date06/11/2020
Last Update Date06/11/2020
Certification Date06/11/2020

Medical Identifiers

Medical identifiers for Phoenix Health Professional Group, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063037364NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
103TA0400XPsychologist - Addiction (substance Use Disorder) (* (Not Available))Primary
104100000XSocial Worker (* (Not Available))Secondary
163WA0400XRegistered Nurse - Addiction (substance Use Disorder) (* (Not Available))Secondary

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› Verified 6 days ago

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