| Empowering Road, Llc | |
|
10 Davol Sq Ste 100 Providence RI 02903-4752 | |
| (401) 400-2403 | |
| Not Available |
| Full Name | Empowering Road, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10 Davol Sq Ste 100, Providence, Rhode Island |
| Authorized Official Name and Position | Sabrina D Mazzilli (MENTAL HEALTH CLINICIAN) |
| Authorized Official Contact | 4014002403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering Road, Llc Po Box 100252 Cranston RI 02910-0064 Ph: (401) 400-2403 | Empowering Road, Llc 10 Davol Sq Ste 100 Providence RI 02903-4752 Ph: (401) 400-2403 |
| NPI Number | 1720850365 |
|---|---|
| Provider Enumeration Date | 10/26/2023 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720850365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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