Organization
LIGHTMIND PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GAGNON APRN (PRESIDENT)
(401) 859-3335
Entity
Organization
Contact information
Practice address
1981 BROAD ST, CRANSTON, RI 02905-3430
(401) 859-3335
(401) 246-4655
Mailing address
PO BOX 9014, WARWICK, RI 02889-0014
(401) 859-3335
(401) 246-4655
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
12/05/2024
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