| Wild Heart Marriage & Family Counseling | |
|
126 Prospect St Ste 210 Pawtucket RI 02860-4429 | |
| (323) 839-6925 | |
| Not Available |
| Full Name | Wild Heart Marriage & Family Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 126 Prospect St Ste 210, Pawtucket, Rhode Island |
| Authorized Official Name and Position | Dejuan L Evans (CEO) |
| Authorized Official Contact | 3238396925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Heart Marriage & Family Counseling Po Box 41 North Attleboro MA 02761-0041 Ph: (323) 839-6925 | Wild Heart Marriage & Family Counseling 126 Prospect St Ste 210 Pawtucket RI 02860-4429 Ph: (323) 839-6925 |
| NPI Number | 1275346330 |
|---|---|
| Provider Enumeration Date | 01/30/2025 |
| Last Update Date | 01/30/2025 |
| Certification Date | 01/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275346330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Cynthia M Barte Licsw, Lcdp, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Lafayette St, Suite 206, Pawtucket, RI 02860 Phone: 401-965-6699 Fax: 401-568-9050 | |
Wendy V., Lmhc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Prospect St Ste 206, Pawtucket, RI 02860 Phone: 401-400-2135 Fax: 401-272-4361 | |
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