Phs Outpatient Behavioral Health
Counselor Clinic
1140 Varnum St Ne Ste 100, Washington
District Of Columbia, 20017
202-854-7623 202-854-7616
Maps & DirectionsPhs Outpatient Behavioral Health is a Counselor Clinic in Washington, District Of Columbia. This organization is also known as sub part of Providence Hospital. It is located at 1140 Varnum St Ne Ste 100, Washington, DC and its contact number is 202-854-7623. The authorized person for Phs Outpatient Behavioral Health is Mitchell Lomax
who is Vice President/cfo of the clinic and his/her contact number is 667-234-2926. The primary license number for Phs Outpatient Behavioral Health is HFD01-0212 (Neurology) in District Of Columbia.
Phs Outpatient Behavioral Health Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Phs Outpatient Behavioral Health Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Phs Outpatient Behavioral Health |
| Specialization: | Counselor |
| Clinic Address: | 1140 Varnum St Ne Ste 100, Washington,
District Of Columbia, 20017 |
| Phone: | 202-854-7623 |
| Fax: | 202-854-7616 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mitchell Lomax |
| Position: | Vice President/cfo |
| Contact Number: | 667-234-2926 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details for Phs Outpatient Behavioral Health clinic are as mentioned below.
| NPI Number: | 1609031632 |
| Parent Organization: | Providence Hospital |
| NPI Enumeration Date: | 18 Jul, 2008 |
| NPI Last Update On: | 20 Oct, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Phs Outpatient Behavioral Health are as mentioned below.
| Specialization | License Number | State | Status | |
| Neurology | HFD01-0212 | District Of Columbia | Primary | |
| Counselor | HFD01-0212 | District Of Columbia | Secondary | |
| Psychologist | HFD01-0212 | District Of Columbia | Secondary | |
| Social Worker | HFD01-0212 | District Of Columbia | Secondary | |
| Addiction Medicine | HFD01-0212 | District Of Columbia | Secondary | |
| Behavioral Neurology & Neuropsychiatry | HFD01-0212 | District Of Columbia | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 985415100 | Medicaid | Maryland | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Phs Outpatient Behavioral Health
1150 Varnum St Ne, St Catherines Hall 102
Washington, District Of Columbia |
| Zip: | 20017-2180 |
| Phone Number: | 202-854-4069 |
| Fax Number: | 202-269-7825 |
Patients can reach Phs Outpatient Behavioral Health at
1140 Varnum St Ne Ste 100, Washington, District Of Columbia or can
call to book an appointment on 202-854-7623.
*
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.