Organization
ME PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARISA ETTING LCMHC (PRESIDENT)
(401) 633-2929
Entity
Organization
Contact information
Practice address
194 WATERMAN ST, PROVIDENCE, RI 02906-4015
(401) 633-2929
(888) 602-6957
Mailing address
194 WATERMAN ST, PROVIDENCE, RI 02906-4015
(401) 633-2929
(888) 602-6957
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
MHC00342
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/06/2011
Last updated
12/31/2024
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