| Nisha Sundararaj, Llc | |
|
1 Richmond Sq Ste 333w Providence RI 02906-5156 | |
| (401) 660-3168 | |
| Not Available |
| Full Name | Nisha Sundararaj, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1 Richmond Sq Ste 333w, Providence, Rhode Island |
| Authorized Official Name and Position | Nisha Sundararaj (THERAPIST) |
| Authorized Official Contact | 4016603168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nisha Sundararaj, Llc 1 Richmond Sq Ste 333w Providence RI 02906-5156 Ph: (401) 660-3168 | Nisha Sundararaj, Llc 1 Richmond Sq Ste 333w Providence RI 02906-5156 Ph: (401) 660-3168 |
| NPI Number | 1104653013 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104653013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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