| Take Root Counseling, Ri Llc | |
|
365 Smith St Providence RI 02908-3770 | |
| (401) 589-1047 | |
| Not Available |
| Full Name | Take Root Counseling, Ri Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 365 Smith St, Providence, Rhode Island |
| Authorized Official Name and Position | Rene Lynn Nicoletti (OWNER) |
| Authorized Official Contact | 8606141329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Take Root Counseling, Ri Llc 3 Lincoln Dr Johnston RI 02919-2861 Ph: (860) 614-1329 | Take Root Counseling, Ri Llc 365 Smith St Providence RI 02908-3770 Ph: (401) 589-1047 |
| NPI Number | 1255187902 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255187902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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