| Emdr & Somatic Psychotherapies Of Rhode Island | |
|
1 Richmond Sq Ste 333c Providence RI 02906-5139 | |
| (401) 441-5834 | |
| Not Available |
| Full Name | Emdr & Somatic Psychotherapies Of Rhode Island |
|---|---|
| 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 |
|---|---|
| Emdr & Somatic Psychotherapies Of Rhode Island Po Box 5 Kingston RI 02881-0005 Ph: (401) 441-5834 | Emdr & Somatic Psychotherapies Of Rhode Island 1 Richmond Sq Ste 333c Providence RI 02906-5139 Ph: (401) 441-5834 |
| NPI Number | 1457015463 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457015463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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