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Organization
LIFE OF PEACE CENTER
Active
Organization
LIFE OF PEACE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS DAVID RODRIGUEZ LMHC (LMHC/PROVIDER)
(401) 744-9322
Entity
Organization
Contact information
Practice address
390 PONTIAC AVE, CRANSTON, RI 02910-3322
(401) 744-9322
Mailing address
390 PONTIAC AVE, CRANSTON, RI 02910-3322
(401) 744-9322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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