Organization
MENTAL HEALTH CONSULTANT SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MORENA RITWIK (OWNER)
(401) 632-4470
Entity
Organization
Contact information
Practice address
400 RESERVOIR AVE STE 2G, PROVIDENCE, RI 02907-3594
(401) 632-4470
(401) 632-4470
Mailing address
400 RESERVOIR AVE STE 2G, PROVIDENCE, RI 02907-3594
(401) 632-4470
(401) 632-4470
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
01/24/2024
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