Organization
PHOENIX MENTAL HEALTH SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEILINE MALEE SMITH MFT-A (OWNER)
(860) 518-0937
Entity
Organization
Contact information
Practice address
85 ADAMS ST, NEW BRITAIN, CT 06052-1248
(860) 518-0937
(860) 505-0075
Mailing address
85 ADAMS ST, NEW BRITAIN, CT 06052-1248
(860) 518-0937
(860) 505-0075
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2246
CT LICENSE
CT
Enumeration date
08/09/2020
Last updated
08/09/2020
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