Organization
FENIX BEHAVIORAL HEALTH LLC
Active
Other names
Fenix Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ASER ONES LCSW (OWNER)
(561) 421-4132
Entity
Organization
Contact information
Practice address
2247 PALM BEACH LAKES BLVD STE 205, WEST PALM BEACH, FL 33409-3409
(561) 421-4132
(561) 774-8265
Mailing address
725 DOBBINS ST, WEST PALM BEACH, FL 33405-2831
(561) 860-8525
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164874129
NPI
FL
Enumeration date
07/01/2016
Last updated
12/17/2019
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