| Providence Wellness, Llc | |
|
669 Public St Providence RI 02907-1640 | |
| (401) 585-3729 | |
| Not Available |
| Full Name | Providence Wellness, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 669 Public St, Providence, Rhode Island |
| Authorized Official Name and Position | Alexander Karoff Hunger (LEAD CLINICIAN) |
| Authorized Official Contact | 4015853729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Wellness, Llc 669 Public St Providence RI 02907-1640 Ph: (401) 585-3729 | Providence Wellness, Llc 669 Public St Providence RI 02907-1640 Ph: (401) 585-3729 |
| NPI Number | 1659046936 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 08/10/2021 |
| Certification Date | 08/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659046936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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