| Radically Thrive Therapy,llc | |
|
295 Angell St Ste 2b Providence RI 02906-2119 | |
| (401) 484-0208 | |
| Not Available |
| Full Name | Radically Thrive Therapy,llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 295 Angell St Ste 2b, Providence, Rhode Island |
| Authorized Official Name and Position | Nikole Barnes (OWNER) |
| Authorized Official Contact | 4016484402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radically Thrive Therapy,llc 295 Angell St Ste 2b Providence RI 02906-2119 Ph: (401) 484-0208 | Radically Thrive Therapy,llc 295 Angell St Ste 2b Providence RI 02906-2119 Ph: (401) 484-0208 |
| NPI Number | 1346003290 |
|---|---|
| Provider Enumeration Date | 02/02/2024 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346003290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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