# RENATA SASSON WELLNESS LLC

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

## Provider details

- **NPI number:** 1710842976
- **Authorized official:** RENATA SASSON (OWNER)
- **Authorized official phone:** (401) 484-0996

## Contact information

- **Practice address:** 340 BROADWAY STE 2, PROVIDENCE, RI 02909-1181
- **Practice address phone:** (401) 484-0996
- **Practice address fax:** (401) 648-4600
- **Mailing address:** 340 BROADWAY STE 2, PROVIDENCE, RI 02909-1181
- **Mailing address phone:** (401) 484-0996
- **Mailing address fax:** (401) 648-4600

## 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:** 12/19/2025
- **Last updated:** 12/19/2025