Organization
INNERACT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNAROSE SQUILLANTE (OWNER)
(401) 757-0142
Entity
Organization
Contact information
Practice address
331 BROADWAY, PROVIDENCE, RI 02909-1101
(401) 757-0142
Mailing address
21 WEST ST, PROVIDENCE, RI 02903-3555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
12/24/2025
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