Organization
CHANGESPACE CENTER FOR COUNSELING AND DEVELOPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER LAORENZA LICSW (CO-OWNER/THERAPIST)
(401) 263-4361
Entity
Organization
Contact information
Practice address
147 COUNTY RD STE 300A-B, BARRINGTON, RI 02806-4536
(401) 263-4361
Mailing address
4 MIDDLE ST, BARRINGTON, RI 02806-1924
(401) 263-4361
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02166
RI
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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