# SOUTH COUNTY THERAPY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1730625260
- **Authorized official:** CYNTHIA LEWIS LICSW (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (401) 829-6164

## Contact information

- **Practice address:** 23 NORTH RD, SUITE A-24, WAKEFIELD, RI 02879-8132
- **Practice address phone:** (401) 829-6164
- **Mailing address:** PO BOX 5707, WAKEFIELD, RI 02880-5707
- **Mailing address phone:** (401) 829-6164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | ISW00655 | RI | Yes |

## Other

- **Enumeration date:** 01/08/2017
- **Last updated:** 01/08/2017