| Dramatic Healing, Llc | |
|
383 W Fountain St Providence RI 02903-3515 | |
| (401) 484-1208 | |
| Not Available |
| Full Name | Dramatic Healing, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 383 W Fountain St, Providence, Rhode Island |
| Authorized Official Name and Position | Amy Larson Lazier (OWNER/PROVIDER) |
| Authorized Official Contact | 4014841208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dramatic Healing, Llc 6 Fairoaks Ave Providence RI 02908-2809 Ph: (401) 484-1208 | Dramatic Healing, Llc 383 W Fountain St Providence RI 02903-3515 Ph: (401) 484-1208 |
| NPI Number | 1780431114 |
|---|---|
| Provider Enumeration Date | 05/03/2024 |
| Last Update Date | 05/03/2024 |
| Certification Date | 05/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780431114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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