# PROVIDENCE PARTNERS BEHAVIORAL HEALTHCARE LLP.

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

## Provider details

- **NPI number:** 1992173371
- **Authorized official:** MS. KAREN MARIE AVERSA (ADMINISTRATIVE MANAGER)
- **Authorized official phone:** (401) 383-8349

## Contact information

- **Practice address:** 225 NEWMAN AVE, RUMFORD, RI 02916-1218
- **Practice address phone:** (401) 383-8349
- **Practice address fax:** (401) 383-8030
- **Mailing address:** 225 NEWMAN AVE, RUMFORD, RI 02916-1218
- **Mailing address phone:** (401) 383-8349
- **Mailing address fax:** (401) 383-8030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | ISW01147 | RI | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CDP00312 | RI | — |
| 101YM0800X | Mental Health Counselor | MHC00156 | RI | Yes |
| 106H00000X | Marriage & Family Therapist | — | RI | — |

## Other

- **Enumeration date:** 09/02/2015
- **Last updated:** 09/21/2015