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VICTA LLC
NPI 1457822413
Clinic/Center - Methadone in Providence, RI

Active since December 16, 2018
110 ELMWOOD AVE, PROVIDENCE, RI 02907(401) 300-5757(401) 300-5656 Get Directions Write a Review

NPPES record last updated: February 21, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 21, 2019, Dec 16, 2018 (2 updates tracked since 2018).

About Victa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTA LLC (NPI 1457822413) is a healthcare organization registered as a methadone in Providence, Rhode Island and active in the NPI registry since December 2018. The organization lists Alexander Donoyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457822413
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameVICTA LLC
Location Address110 ELMWOOD AVEProvidence, RI 02907-2423
Mailing Address110 Elmwood AveProvidence, RI 02907-2423 · (401) 300-5757 · Fax (401) 300-5656
Phone(401) 300-5757
Fax(401) 300-5656
Organization SubpartNo
Authorized OfficialAlexander DonoyanCeo · (401) 300-5757
Enumeration DateDecember 16, 2018
Last NPPES UpdateFebruary 21, 20192 updates tracked since enumeration
✔ NPI 1457822413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
110 ELMWOOD AVE, Providence, RI 02907
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Other Identifiers 1

Medicaid1104317007RI

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN H HART M.D.
Internal Medicine (Addiction Medicine)
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Providence County (401) 275-5039
WILLIAM MCCAUGHEY
Counselor (Addiction (Substance Use Disorder))
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Providence County (401) 300-5757
BRYANA MICHELLE AGUIAR
Marriage & Family Therapist
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Providence County (401) 300-5757
VICTAPHARM
Pharmacy
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Providence County (401) 300-5757
MR. ALEXANDER DONOYAN MBA, LCDP
Counselor (Addiction (Substance Use Disorder))
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Providence County (401) 868-0654
DAWN MADEN LCDP
Counselor (Addiction (Substance Use Disorder))
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Providence County (401) 300-5757
KATIE RENEE GONZALEZ LCDP
Counselor (Addiction (Substance Use Disorder))
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Providence County (401) 545-5433
AMANDA JOYE WHITNEY LCDP
Counselor (Addiction (Substance Use Disorder))
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Providence County (401) 300-5757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victa LLC's NPI number?

The NPI number for Victa LLC is 1457822413. It was assigned to this organization in the NPPES registry on December 16, 2018.

Where is Victa LLC located?

Victa LLC is located at 110 Elmwood Ave, Providence, RI 02907. The listed phone number is (401) 300-5757.

What is Victa LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Victa LLC was last updated on February 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.