Individual
GRACE BATISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LCDP
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 274-2500
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDP00255
RI
1041C0700X
Clinical Social Worker
Primary
ISW00162
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104847946
THE PROVIDENCE CENTER NPI
RI
01
—
30002-7
BLUE CROSS
RI
01
—
406348
BLUE CHIP
RI
01
—
62-41261
UNITED BEHAVIORAL HEALTH
RI
05
—
GB18616
—
RI
Enumeration date
07/16/2006
Last updated
03/27/2009
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