NPI 1063037364

Phoenix Health Professional Group, LLC

Organisation Addiction (Substance Use Disorder) Psychologist Providence, RI

Practice location

Address: 99 Wayland Ave STE 100, Providence, RI 02906-4314
Phone: (617) 771-1154
Mailing address: 1301 Atwood Ave STE 100, Johnston, RI 02919-4933

Authorised official

Name: Joel K Goloskie
Title: Counsel
Phone: (617) 771-1154

Registered specialties (4)

Addiction (Substance Use Disorder) Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TA0400X

Other Psychologist providers in Rhode Island →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

Other Counselor providers in Rhode Island →

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X

Other Social Worker providers in Rhode Island →

Addiction (Substance Use Disorder) Registered Nurse

Nursing Service Providers Taxonomy 163WA0400X

Other Registered Nurse providers in Rhode Island →

Registry record

NPI: 1063037364
Entity type: Organization
NPI issued: 11 Jun 2020
Record last updated: 11 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.