# MAP BEHAVIORAL HEALTH GROUP

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

## Provider details

- **NPI number:** 1992448534
- **Authorized official:** LIONEL H. FERNANDEZ MSW (CEO/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (401) 999-7010

## Contact information

- **Practice address:** 343 ELMWOOD AVE, PROVIDENCE, RI 02907-1546
- **Practice address phone:** (401) 999-7010
- **Mailing address:** 343 ELMWOOD AVE, PROVIDENCE, RI 02907-1546
- **Mailing address phone:** (401) 999-7010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/20/2022
- **Last updated:** 04/20/2022