| East Coast Mental Wellness | |
|
1 Richmond Sq Ste 103k Providence RI 02906-5166 | |
| (401) 497-8873 | |
| (877) 455-3466 |
| Full Name | East Coast Mental Wellness |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1 Richmond Sq Ste 103k, Providence, Rhode Island |
| Authorized Official Name and Position | Melissa Dasilva (OWNER) |
| Authorized Official Contact | 4014978873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Coast Mental Wellness 1 Richmond Sq Ste 103k Providence RI 02906-5166 Ph: (401) 497-8873 | East Coast Mental Wellness 1 Richmond Sq Ste 103k Providence RI 02906-5166 Ph: (401) 497-8873 |
| NPI Number | 1336591494 |
|---|---|
| Provider Enumeration Date | 07/12/2016 |
| Last Update Date | 07/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336591494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW02064 (Rhode Island) | Primary |
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