Organization
INTEGRATIVE HEALING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRINE GUILHERME FUJAH LICSW (OWNER)
(401) 414-4781
Entity
Organization
Contact information
Practice address
33 RACHELA ST, JOHNSTON, RI 02919-6249
(401) 648-0304
Mailing address
148 ATWOOD AVE # 322, CRANSTON, RI 02920-4130
(401) 648-0304
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053859264
LICSW
RI
Enumeration date
05/16/2022
Last updated
08/20/2025
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