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

Victa LLC

Organization Counselor · NPI 1104317007

Victa LLC is a Counselor in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2018.

Licensed in
RI
In the registry since
2018
Specialties on file
14
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

110 Elmwood Ave # A
Providence, RI 02907
Phone: (401) 868-0654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1104317007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Donoyan — Ceo · (401) 300-5757
NPI enumeratedMay 25, 2018
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address110 Elmwood Ave, Providence, RI 02907-2423

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