Organization
HEALING THE WOUNDED SOUL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN DUCHARME (CREDENTIALING/BILLING MANAGER)
(401) 533-6245
Entity
Organization
Contact information
Practice address
16 DAKIN AVE STE 110, MOUNT KISCO, NY 10549-2826
(516) 225-8767
Mailing address
644 GREAT RD, NORTH SMITHFIELD, RI 02896-6864
(401) 533-6245
(401) 424-4531
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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