Hologram Central | |
44 Barbara St Unit 1 Providence RI 02909-5110 | |
(401) 287-5564 | |
Not Available |
Full Name | Hologram Central |
---|---|
Speciality | Counselor - Mental Health |
Location | 44 Barbara St Unit 1, Providence, Rhode Island |
Authorized Official Name and Position | Omar M Awad (BUSINESS OWNER) |
Authorized Official Contact | 4012875564 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hologram Central 44 Barbara St Unit 1 Providence RI 02909-5110 Ph: () - | Hologram Central 44 Barbara St Unit 1 Providence RI 02909-5110 Ph: (401) 287-5564 |
NPI Number | 1821509944 |
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Provider Enumeration Date | 10/16/2017 |
Last Update Date | 06/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821509944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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