# PHENIX PSYCHIATRIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881322980
- **Authorized official:** JENNIFER TAWA NP (MANAGING PSYCHIATRIC NP)
- **Authorized official phone:** (603) 930-4746

## Contact information

- **Practice address:** 109 RIVERWAY PL, BEDFORD, NH 03110-6730
- **Practice address phone:** (978) 226-8690
- **Mailing address:** 109 RIVERWAY PL, BEDFORD, NH 03110-6730
- **Mailing address phone:** (978) 226-8690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2022
- **Last updated:** 08/08/2022