Organization · Type 2 NPI

BHG Lxxix, LLC

Substance Use Disorder Rehabilitation Clinic/Center · Providence, RI

NPI number 1497468599 Active

Practice location

160 Narragansett Ave Rm 100
Providence, RI 02907-3367

Call (401) 941-4488 Map

Fax (401) 552-4673

Mailing address

5001 Spring Valley Road, Suite 600 East
Dallas, TX 75244-3946

Specialties and licenses

Taxonomy	Code	License
Specialist	174400000X	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 Primary	261QR0405X	None listed

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NPI record

NPI: 1497468599
Entity type: Organization (Type 2)
Issued: Jan 4, 2023
Last updated: Dec 23, 2024
Status: Active

Other names

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BHG Medical Services - Rhode Island · doing business as
BHG Medical Services - Rhode Island · doing business as

Authorized official

Jay Higham
CEO
(214) 365-6112

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497468599

BHG Lxxix, LLC's National Provider Identifier is 1497468599, issued on Jan 4, 2023. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Providence, RI. The record was last updated on Dec 23, 2024.