Whalio Doctors

NPI 1104317007

Victa LLC

Organisation Addiction Medicine (Internal Medicine) Physician Providence, RI

Practice location

Address
110 Elmwood Ave # a, Providence, RI 02907
Phone
(401) 868-0654
Mailing address
110 Elmwood Ave, Providence, RI 02907-2423

Authorised official

Name
Alexander Donoyan
Title
Ceo
Phone
(401) 300-5757

Registered specialties (14)

Addiction Medicine (Internal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207RA0401X
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TA0400X
Counseling Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC1900X
Marriage & Family Therapist
Behavioral Health & Social Service Providers Taxonomy 106H00000X
Addiction (Substance Use Disorder) Registered Nurse
Nursing Service Providers Taxonomy 163WA0400X
Ambulatory Care Registered Nurse
Nursing Service Providers Taxonomy 163WP2201X
Community Health Worker
Other Service Providers Taxonomy 172V00000X
Peer Specialist
Other Service Providers Taxonomy 175T00000X
Infectious Disease Physician
Allopathic & Osteopathic Physicians Taxonomy 207RI0200X
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X Licence 648.01 (RI)
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence 648.01 (RI)

Registry record

NPI
1104317007
Entity type
Organization
NPI issued
25 May 2018
Record last updated
8 Jun 2026

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.