|
| |
|
1 Richmond Sq Ste 333c Providence RI 02906-5139 | |
| (401) 441-5834 | |
| (401) 210-8248 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1 Richmond Sq Ste 333c, Providence, Rhode Island |
| Authorized Official Name and Position | Madrone Phoenix (OWNER) |
| Authorized Official Contact | 4012970692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 5 Kingston RI 02881-0005 Ph: (401) 441-5834 | 1 Richmond Sq Ste 333c Providence RI 02906-5139 Ph: (401) 441-5834 |
| NPI Number | 1912598046 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912598046 | NPI | - | NPPES |
One Step At A Time Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Kinfield St, Providence, RI 02909 Phone: 401-871-2379 | |
Aba Centers Of Rhode Island Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 Georgia Ave Ste 110, Providence, RI 02905 Phone: 844-982-4222 | |
Because I Matter Wellness Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Wayland Ave, Suite 4b, Providence, RI 02906 Phone: 401-431-2953 | |
Providence Behavioral Health Associates Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1075 Smith St, Providence, RI 02908 Phone: 401-369-9224 Fax: 401-369-9275 | |
The Wellness Center Ri, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Reservoir Ave, Suite 2k, Providence, RI 02907 Phone: 401-461-9355 Fax: 401-784-9609 |