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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