| Lifespan | |
|
1011 Veterans Memorial Pkwy Riverside RI 02915-5061 | |
| (401) 432-1000 | |
| Not Available |
| Full Name | Lifespan |
|---|---|
| Speciality | Counselor |
| Location | 1011 Veterans Memorial Pkwy, Riverside, Rhode Island |
| Authorized Official Name and Position | Rosalina Monteiro Vieira (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4012157040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan 1011 Veterans Memorial Pkwy Riverside RI 02915-5061 Ph: (401) 432-1000 | Lifespan 1011 Veterans Memorial Pkwy Riverside RI 02915-5061 Ph: (401) 432-1000 |
| NPI Number | 1912763608 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912763608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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