Provider Demographics
NPI:1639834971
Name:NEXX PHASE LLC
Entity Type:Organization
Organization Name:NEXX PHASE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TROYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANASSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-298-2007
Mailing Address - Street 1:101 APRICOT ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-2103
Mailing Address - Country:US
Mailing Address - Phone:980-277-8087
Mailing Address - Fax:
Practice Address - Street 1:101 APRICOT ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-2103
Practice Address - Country:US
Practice Address - Phone:980-277-8087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-02
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health