| Vital Essence Llc | |
|
116 Rice Ave East Providence RI 02914-1836 | |
| (970) 596-3194 | |
| Not Available |
| Full Name | Vital Essence Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 116 Rice Ave, East Providence, Rhode Island |
| Authorized Official Name and Position | Jackson Melnick (OWNER) |
| Authorized Official Contact | 9705963194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Essence Llc Po Box 2388 Providence RI 02906-0388 Ph: (970) 596-3194 | Vital Essence Llc 116 Rice Ave East Providence RI 02914-1836 Ph: (970) 596-3194 |
| NPI Number | 1568235976 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568235976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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