# ROOTS TO ROADS THERAPY LLC

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

## Provider details

- **NPI number:** 1366397937
- **Authorized official:** LAUREN CUSHING CNP (PMHNP)
- **Authorized official phone:** (401) 297-0502

## Contact information

- **Practice address:** 166 VALLEY ST BLDG 6M, C/O SPROUT COWORKING LLC, PROVIDENCE, RI 02909-2400
- **Practice address phone:** (401) 297-0502
- **Practice address fax:** (401) 297-0504
- **Mailing address:** 166 VALLEY ST BLDG 6M, PROVIDENCE, RI 02909-2400
- **Mailing address phone:** (401) 297-0502
- **Mailing address fax:** (401) 297-0504

## Taxonomy

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

## Other

- **Enumeration date:** 02/28/2026
- **Last updated:** 02/28/2026
