| Changespace Center For Counseling And Development Llc | |
|
147 County Rd Ste 300a-b Barrington RI 02806-4536 | |
| (401) 263-4361 | |
| Not Available |
| Full Name | Changespace Center For Counseling And Development Llc |
|---|---|
| Speciality | Social Worker |
| Location | 147 County Rd Ste 300a-b, Barrington, Rhode Island |
| Authorized Official Name and Position | Alexander Laorenza (CO-OWNER/THERAPIST) |
| Authorized Official Contact | 4012634361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Changespace Center For Counseling And Development Llc 4 Middle St Barrington RI 02806-1924 Ph: (401) 263-4361 | Changespace Center For Counseling And Development Llc 147 County Rd Ste 300a-b Barrington RI 02806-4536 Ph: (401) 263-4361 |
| NPI Number | 1144709932 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 08/13/2018 |
| Medicare PECOS PAC ID | 7214356542 |
|---|---|
| Medicare Enrollment ID | O20201006000725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144709932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW02166 (Rhode Island) | Primary |
| Provider Name | Alexander Laorenza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457477655 PECOS PAC ID: 8426477860 Enrollment ID: I20201110002065 |
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