# WILD ROSE THERAPY, LLC

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

## Provider details

- **NPI number:** 1174486211
- **Authorized official:** CLAIRE ROBINSON LICSW (OWNER)
- **Authorized official phone:** (810) 923-5424

## Contact information

- **Practice address:** 25 MAPLE ST STE 200, PAWTUCKET, RI 02860-2104
- **Practice address phone:** (401) 358-1050
- **Mailing address:** 25 MAPLE ST, SUITE 200 \#1057, PAWTUCKET, RI 02860-2104
- **Mailing address phone:** (401) 358-1050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2025
- **Last updated:** 12/05/2025