# PHASES COUNSELING AND MEDIATION CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHASES COUNSELING AND MEDIATION CENTER LLC
- **Other names:** Phases Counseling and Mediation Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023894797
- **Legal business name:** PHASES COUNSELING AND MEDIATION CENTER LLC
- **Authorized official:** JULIA LEE GAW LMHC (CLINICIAN/OWNER)
- **Authorized official phone:** (401) 424-1364

## Contact information

- **Practice address:** 70 HOOD AVE, RUMFORD, RI 02916-1545
- **Practice address phone:** (973) 809-8253
- **Mailing address:** 70 HOOD AVE, RUMFORD, RI 02916-1545
- **Mailing address phone:** (973) 809-8253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2023
- **Last updated:** 09/07/2023