Organization
BREAKWATER COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MARTIN LICSW (OWNER)
(401) 338-2741
Entity
Organization
Contact information
Practice address
2090 WALLUM LAKE RD, PASCOAG, RI 02859-1813
(401) 426-2954
Mailing address
PO BOX 154, CUMBERLAND, RI 02864-0154
(401) 426-2954
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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