Victa Llc is a Counselor Clinic in Providence, Rhode Island. It is located at 110 Elmwood Ave # A, Providence, RI and its contact number is 401-868-0654. The authorized person for Victa Llc is Mr. Alexander Donoyan
who is Ceo of the clinic and his/her contact number is 401-300-5757.
Victa Llc 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:
Victa Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Victa Llc |
| Specialization: | Counselor |
| Clinic Address: | 110 Elmwood Ave # A, Providence,
Rhode Island, 02907 |
| Phone: | 401-868-0654 |
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: | Mr. Alexander Donoyan |
| Position: | Ceo |
| Contact Number: | 401-300-5757 |
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 Victa Llc clinic are as mentioned below.
| NPI Number: | 1104317007 |
| NPI Enumeration Date: | 25 May, 2018 |
| NPI Last Update On: | 21 Feb, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Victa Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Addiction Medicine | | | Primary | |
| Counselor | | | Secondary | |
| Addiction (Substance Use Disorder) | | | Secondary | |
| Mental Health | | | Secondary | |
| Addiction (Substance Use Disorder) | | | Secondary | |
| Counseling | | | Secondary | |
| Marriage & Family Therapist | | | Secondary | |
| Nutrition, Education | | | Secondary | |
| Addiction (Substance Use Disorder) | | | Secondary | |
| Ambulatory Care | | | Secondary | |
| Infectious Disease | | | Secondary | |
| Mental Health (Including Community Mental Health Center) | 648.01 | Rhode Island | Secondary | |
| Rehabilitation, Substance Use Disorder | 648.01 | Rhode Island | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Victa Llc
110 Elmwood Ave,
Providence, Rhode Island |
| Zip: | 02907-2423 |
| Phone Number: | 401-300-5757 |
Patients can reach Victa Llc at
110 Elmwood Ave # A, Providence, Rhode Island or can
call to book an appointment on 401-868-0654.
*
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.