Individual
COLBY DIANE BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1443 HARTFORD AVE, JOHNSTON, RI 02919-3224
(401) 273-8100
(401) 861-8696
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CSW02883
RI
1041C0700X
Clinical Social Worker
Primary
CSW02883
RI
Other
Enumeration date
01/09/2023
Last updated
02/20/2026
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