# OCEAN STATE COUNSELING AND WELLNESS CENTER

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

## Provider details

- **NPI number:** 1265914477
- **Authorized official:** MICHELLE A MCGUIRE LMHC (CLINICAL MANAGER)
- **Authorized official phone:** (401) 241-3344

## Contact information

- **Practice address:** 1395 ATWOOD AVE, SUITE 206, JOHNSTON, RI 02919-4931
- **Practice address phone:** (401) 241-3344
- **Practice address fax:** (888) 458-2467
- **Mailing address:** PO BOX 582, N SCITUATE, RI 02857-0582
- **Mailing address phone:** (401) 241-3344
- **Mailing address fax:** (888) 456-2467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2018
- **Last updated:** 10/23/2019