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Organization
PROVIDENCE PARTNERS BEHAVIORAL HEALTHCARE LLP.
Active
Organization
PROVIDENCE PARTNERS BEHAVIORAL HEALTHCARE LLP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN MARIE AVERSA (ADMINISTRATIVE MANAGER)
(401) 383-8349
Entity
Organization
Contact information
Practice address
225 NEWMAN AVE, RUMFORD, RI 02916-1218
(401) 383-8349
(401) 383-8030
Mailing address
225 NEWMAN AVE, RUMFORD, RI 02916-1218
(401) 383-8349
(401) 383-8030
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ISW01147
RI
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00312
RI
101YM0800X
Mental Health Counselor
Primary
MHC00156
RI
106H00000X
Marriage & Family Therapist
—
RI
Other
Enumeration date
09/02/2015
Last updated
09/21/2015
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