Organization
OPEN SKY INNER BLAZE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAKAILA FERREIRA LMHC (OWNER)
(401) 648-1955
Entity
Organization
Contact information
Practice address
738 ROOSEVELT AVE, PAWTUCKET, RI 02860-1081
(401) 648-1955
Mailing address
738 ROOSEVELT AVE, PAWTUCKET, RI 02860-1081
(401) 648-1955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/11/2026
Last updated
05/06/2026
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