| Joseph, Vl., Llc | |
|
126 Prospect St Ste 206 Pawtucket RI 02860-4429 | |
| (774) 955-0855 | |
| Not Available |
| Full Name | Joseph, Vl., Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 126 Prospect St Ste 206, Pawtucket, Rhode Island |
| Authorized Official Name and Position | Valerie Joseph (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7749550855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph, Vl., Llc 126 Prospect St Ste 206 Pawtucket RI 02860-4429 Ph: (774) 955-0855 | Joseph, Vl., Llc 126 Prospect St Ste 206 Pawtucket RI 02860-4429 Ph: (774) 955-0855 |
| NPI Number | 1205435914 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 02/02/2024 |
| Certification Date | 02/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205435914 | NPI | - | NPPES |
| 1497269930 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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