Phoenix Health Professional Group, LLC

NPI #1063037364 in Providence, Rhode Island

Provider Information

NPI Number
1063037364
Entity Type
Organization
Organization Name
Phoenix Health Professional Group, LLC
Primary Specialty
Psychologist - Addiction (Substance Use Disorder)
Enumeration Date
Jun 11, 2020
Last Updated
Jun 11, 2020

Practice Location

Address
99 WAYLAND AVE STE 100
ZIP Code
02906-4314
Phone
(617) 771-1154

Authorized Official

Name
JOEL K GOLOSKIE
Title
COUNSEL
Phone
(617) 771-1154

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Social Worker
Psychologist - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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