| Phoenix Behavioral Health Llc | |
| 
					31 Pine Street, Suite 207 Norfolk MA 02056  | |
| (508) 623-3931 | |
| (508) 623-3939 | 
| Full Name | Phoenix Behavioral Health Llc | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 31 Pine Street, Suite 207, Norfolk, Massachusetts | 
| Authorized Official Name and Position | Dawn Lorraine Parks (OWNER) | 
| Authorized Official Contact | 5086233931 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Phoenix Behavioral Health Llc 2490 Maple Swamp Road North Dighton MA 02764 Ph: (508) 685-5436  | Phoenix Behavioral Health Llc 31 Pine Street, Suite 207 Norfolk MA 02056 Ph: (508) 623-3931  | 
| NPI Number | 1659962728 | 
|---|---|
| Provider Enumeration Date | 02/01/2021 | 
| Last Update Date | 02/01/2021 | 
| Certification Date | 02/01/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659962728 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
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