# CENTER FOR INTEGRATED PSYCHOTHERAPY, LLC

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

## Provider details

- **NPI number:** 1992058580
- **Authorized official:** LAURIE RACKLEY-JOSEPH LICSW (MEMBER AND LICENSED PSYCHOTHERAPIST)
- **Authorized official phone:** (401) 294-9323

## Contact information

- **Practice address:** 1130 TEN ROD RD, SUITE D-307A, NORTH KINGSTOWN, RI 02852-4161
- **Practice address phone:** (401) 294-9323
- **Practice address fax:** (401) 294-9320
- **Mailing address:** 1130 TEN ROD RD, SUITE D-307A, NORTH KINGSTOWN, RI 02852-4161
- **Mailing address phone:** (401) 294-9323
- **Mailing address fax:** (401) 294-9320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | ISW02018 | RI | Yes |

## Other

- **Enumeration date:** 10/19/2012
- **Last updated:** 10/19/2012