| Therapeutic Foundations Llc | |
|
741 Westminster St Ste 202 Providence RI 02903-4062 | |
| (401) 243-5479 | |
| Not Available |
| Full Name | Therapeutic Foundations Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 741 Westminster St Ste 202, Providence, Rhode Island |
| Authorized Official Name and Position | Andrea Agajanian (OWNER) |
| Authorized Official Contact | 4012435479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Foundations Llc 8 Ferncliff Ave North Providence RI 02911-1710 Ph: () - | Therapeutic Foundations Llc 741 Westminster St Ste 202 Providence RI 02903-4062 Ph: (401) 243-5479 |
| NPI Number | 1083457139 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083457139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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