Organization · Type 2 NPI
BHG Lxxxvi, LLC
Addiction Medicine (Psychiatry & Neurology) Physician · Davenport, IA
Practice location
3811 North Harrison Street, Obot Room #100
Davenport, IA 52806-5911
Fax (563) 388-8002
Mailing address
5001 Spring Valley Rd Ste 600
Dallas, TX 75244-3946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | None listed |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | None listed |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | None listed |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | None listed |
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Methadone Clinic | 261QM2800X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
About NPI 1093421026
BHG Lxxxvi, LLC's National Provider Identifier is 1093421026, issued on Jan 24, 2023. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Davenport, IA. The record was last updated on Sep 22, 2025.