Organization
FENIX BEHAVIORAL HEALTH LLC
Active
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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