Organization
RADICALLY THRIVE THERAPY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NIKOLE BARNES LICSW (OWNER)
(401) 648-4402
Entity
Organization
Contact information
Practice address
295 ANGELL ST STE 2B, PROVIDENCE, RI 02906-2119
(401) 484-0208
Mailing address
295 ANGELL ST STE 2B, PROVIDENCE, RI 02906-2119
(401) 484-0208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/28/2024
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