# VIVAPATH BEHAVIORAL AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164352431
- **Authorized official:** CLARIBEL CRUZ PMHNP-BC (OWNER)
- **Authorized official phone:** (401) 829-2906

## Contact information

- **Practice address:** 10 DORRANCE ST STE 700, PROVIDENCE, RI 02903-2014
- **Practice address phone:** (401) 829-2906
- **Practice address fax:** (401) 895-3771
- **Mailing address:** 72 SHADY HILL DR, WEST WARWICK, RI 02893-2337
- **Mailing address phone:** (401) 829-2906
- **Mailing address fax:** (401) 895-3771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2026
- **Last updated:** 05/28/2026