Organization
BEHAVIORAL MEDICINE AND HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER STRAVATO LMHC, QMHP (CLINICAL DIRECTOR)
(401) 447-5928
Entity
Organization
Contact information
Practice address
145 WAYLAND AVE, PROVIDENCE, RI 02906-4303
(401) 447-5928
Mailing address
145 WAYLAND AVE, PROVIDENCE, RI 02906-4303
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
RI
101YM0800X
Mental Health Counselor
Primary
MHC00583
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CS87632
—
RI
Enumeration date
04/09/2014
Last updated
12/02/2014
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