Organization
VIVAPATH BEHAVIORAL AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARIBEL CRUZ PMHNP-BC (OWNER)
(401) 829-2906
Entity
Organization
Contact information
Practice address
10 DORRANCE ST STE 700, PROVIDENCE, RI 02903-2014
(401) 829-2906
(401) 895-3771
Mailing address
72 SHADY HILL DR, WEST WARWICK, RI 02893-2337
(401) 829-2906
(401) 895-3771
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/20/2026
Last updated
05/28/2026
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