# NINA T SOARES LMHC LLC

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

## Provider details

- **NPI number:** 1720808181
- **Authorized official:** NINA TAIZE SOARES LMHC (MANAGER/OWNER)
- **Authorized official phone:** (774) 930-6729

## Contact information

- **Practice address:** 1224 W MAIN RD, MIDDLETOWN, RI 02842-6397
- **Practice address phone:** (774) 644-0972
- **Mailing address:** 207 PURCHASE ST, SWANSEA, MA 02777-5037
- **Mailing address phone:** (774) 930-6729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2024
- **Last updated:** 10/11/2024