Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phoenix Health Professional Group, LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1063037364

Phoenix Health Professional Group, LLC is an Addiction (Substance Use Disorder) Counselor in Providence, Rhode Island. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

99 Wayland Ave Ste 100
Providence, RI 02906-4314
Phone: (617) 771-1154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Psychologist (primary) Taxonomy 103TA0400X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Social Worker Taxonomy 104100000X
Addiction (Substance Use Disorder) Registered Nurse Taxonomy 163WA0400X

Record details

NPI number1063037364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Goloskie — Counsel · (617) 771-1154
Other names Phoenix Health
NPI enumeratedJune 11, 2020
Last updated in NPPESJune 11, 2020
Certification dateJune 11, 2020
Mailing address1301 Atwood Ave Ste 100, Johnston, RI 02919-4933

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