# VITAL ESSENCE LLC

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

## Provider details

- **NPI number:** 1568235976
- **Authorized official:** JACKSON MELNICK LICSW (OWNER)
- **Authorized official phone:** (970) 596-3194

## Contact information

- **Practice address:** 394 ANGELL ST, PROVIDENCE, RI 02906-4075
- **Practice address phone:** (970) 596-3194
- **Mailing address:** 116 RICE AVE, EAST PROVIDENCE, RI 02914-1836
- **Mailing address phone:** (970) 596-3194

## Taxonomy

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

## Other

- **Enumeration date:** 11/07/2023
- **Last updated:** 02/26/2026