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General NPI Number Information
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NPI Number | 1194642819
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Entity Type | Organization
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Legal Business Name | NEXPHASE INTEGRATED HEALTH GROUP, LLC
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 820 SAINT SEBASTIAN WAY STE 5E
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City | AUGUSTA
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State | GA
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Zip | 30901-2639
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Country | US
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Telephone | 678-858-2378
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Fax |
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Provider Business Mailing Address
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Address Line | 801 TRAVIS ST STE 2101
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City | HOUSTON
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State | TX
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Zip | 77002-5730
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Country | US
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Telephone | 281-940-0815
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANITA D VINCENT
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Credential | CADC-II, LCDC, CCS,
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Telephone | 832-629-3099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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