Organization
PROVIDENCE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER KAROFF HUNGER LICSW (LEAD CLINICIAN)
(401) 585-3729
Entity
Organization
Contact information
Practice address
669 PUBLIC ST, PROVIDENCE, RI 02907-1640
(401) 585-3729
Mailing address
669 PUBLIC ST, PROVIDENCE, RI 02907-1640
(401) 585-3729
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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