VICTORY CLINICAL SERVICES - NPI 1548615818

Q: What is Victory Clinical Services's NPI number?

The NPI number for Victory Clinical Services is 1548615818. It was assigned to this organization in the NPPES registry on April 25, 2016.

Q: What is Victory Clinical Services's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

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About Victory Clinical Services NPPES

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

VICTORY CLINICAL SERVICES (NPI 1548615818) is a healthcare organization registered as an addiction (substance use disorder) in Jackson, Michigan and active in the NPI registry since April 2016. The organization lists Melissa Ann Ehart, Clinical Supervisior, as its authorized official.

NPPES Registry Identity

NPI1548615818

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameVICTORY CLINICAL SERVICES

Location Address3300 LANSING AVEJackson, MI 49202-1621

Mailing Address3300 Lansing AveJackson, MI 49202-1621 · (517) 784-2929

Phone(517) 784-2929

Organization SubpartNo

Authorized OfficialMelissa Ann EhartClinical Supervisior · (517) 784-2929

Enumeration DateApril 25, 2016

✔ NPI 1548615818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

3300 LANSING AVE, Jackson, MI 49202

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MR. CHARLES E BONNEY CADC

Counselor (Addiction (Substance Use Disorder))