Phoenix House Of New England
Community/Behavioral Health in Wakefield, Rhode Island
1790804292- Practice location
- 1058 Kingstown RD, Wakefield, RI 02879-2487
- Phone
- 401-783-0782
- Fax
- 401-783-1154
- Last updated
- August 22, 2020
Phoenix House Of New England is a healthcare organization based in Wakefield, RI. Phoenix House Of New England practices in Wakefield, RI. The NPI Number for Phoenix House Of New England is 1790804292 and holds a License No. 00100 (RI). The current practice location address for Phoenix House Of New England is 1058 Kingstown RD, Wakefield, RI 02879-2487 and can be reached out via phone at 401-783-0782 and via fax at 401-783-1154.
Provider Profile Details
- NPI Number
- 1790804292
- Provider Name
- Phoenix House Of New England
- Provider Entity Type
- Organization
- Address
- 1058 Kingstown RD, Wakefield, RI 02879-2487
- Phone Number
- 401-783-0782
- Fax Number
- 401-783-1154
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Reynard Lorin Bullock, MS LMFT · Counselor · 401-783-0782
- Provider Enumeration Date
- March 28, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1058 Kingstown RD
Wakefield, RI 02879-2487 - City
- Wakefield
- State
- Rhode Island
- Zip
- 02879-2487
- Phone Number
- 401-783-0782
- Fax Number
- 401-783-1154
Provider Business Mailing Address Details
- Address
- 1058 Kingstown RD
Wakefield, RI 02879-2487 - City
- Wakefield
- State
- RI
- Zip
- 02879-2487
- Phone Number
- 401-783-0782
- Fax Number
- 401-783-1154
License Information
- License Number
- 00100
- License State
- RI
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Community/Behavioral Health providers near Wakefield, RI
View all Community/Behavioral Health providers in Wakefield →Frequently Asked Questions
What is the NPI number of Phoenix House Of New England?
The NPI number of Phoenix House Of New England is 1790804292. It was assigned on March 28, 2007 and is currently active in the NPPES registry.
What is the specialty of Phoenix House Of New England?
Phoenix House Of New England is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in RI under license number 00100.
Where does Phoenix House Of New England practice?
The practice location is 1058 Kingstown RD, Wakefield, RI 02879-2487. The office can be reached at 401-783-0782 (phone) or 401-783-1154 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790804292 directly on the NPPES registry website.