Organization
TAKE ROOT COUNSELING, RI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE LYNN NICOLETTI LICSW (OWNER)
(860) 614-1329
Entity
Organization
Contact information
Practice address
365 SMITH ST, PROVIDENCE, RI 02908-3770
(401) 589-1047
Mailing address
3 LINCOLN DR, JOHNSTON, RI 02919-2861
(860) 614-1329
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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