Organization
COLLABORATIVE CARE NETWORK LLC
Active
Organization
COLLABORATIVE CARE NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRAYNELIS Y ANDUJAR LICSW (CO-FOUNDER / CLINICIAN)
(401) 749-4821
Entity
Organization
Contact information
Practice address
2 RICHMOND SQ STE 204, PROVIDENCE, RI 02906-5135
(401) 206-0130
Mailing address
2 RICHMOND SQ STE 204, PROVIDENCE, RI 02906-5135
(401) 206-0130
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184005456
NPPES
MA
01
—
1548601347
NPPES
MA
01
—
1750072740
NPPES
RI
Enumeration date
06/19/2025
Last updated
06/19/2025
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