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Organization
PHOCCUS HEALTH COMPANY
Active
Organization
PHOCCUS HEALTH COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIRE'E LEWIS-NELSON (CEO)
(804) 898-6092
Entity
Organization
Contact information
Practice address
904 N 1ST ST, RICHMOND, VA 23219-1000
(804) 601-6263
Mailing address
3353 MEADOWMONT LN, RICHMOND, VA 23223-2148
(804) 898-6092
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Enumeration date
02/22/2024
Last updated
02/23/2024
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