Organization
BHG LVI, LLC
Active
Other names
BHG Providence Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEMECE MICHELLE GASAWAY MSW. LMSW (DIRECTOR OF LICENSING)
(337) 263-2971
Entity
Organization
Contact information
Practice address
160 NARRAGANSETT AVE, PROVIDENCE, RI 02907-3367
(401) 941-4488
Mailing address
5001 SPRING VALLEY RD STE 600E, DALLAS, TX 75244-8217
(214) 365-6100
(214) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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