# INNER BALANCE OF RI

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

## Provider details

- **NPI number:** 1265250682
- **Authorized official:** ANDRIA DUARTE PMHNP-BC (OWNER)
- **Authorized official phone:** (401) 241-5660

## Contact information

- **Practice address:** 66 MAIN ST STE 202, SOUTH KINGSTOWN, RI 02879-3651
- **Practice address phone:** (401) 251-0024
- **Practice address fax:** (401) 466-4027
- **Mailing address:** 18 E GREENWICH AVE APT 2, WEST WARWICK, RI 02893-5458
- **Mailing address phone:** (401) 241-5660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2024
- **Last updated:** 12/17/2024