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Organization

BRAINWISE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL HENLEY (OWNER)
(617) 610-7380
Entity
Organization

Contact information

Practice address
1275 WAMPANOAG TRL STE 9, RIVERSIDE, RI 02915-1217
(401) 352-8440
Mailing address
1275 WAMPANOAG TRL STE 9, RIVERSIDE, RI 02915-1217
(401) 352-8440
(401) 355-3655

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103G00000X
Clinical Neuropsychologist
Primary
103TC0700X
Clinical Psychologist
163WP0808X
Psychiatric/Mental Health Registered Nurse
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
05/22/2025
Last updated
01/09/2026
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