Organization
BRAVO WELLNESS & PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA CALDERON LICSW (PRESIDENT)
(401) 830-2373
Entity
Organization
Contact information
Practice address
400 RESERVOIR AVE STE 3K, PROVIDENCE, RI 02907-3565
(401) 830-2373
Mailing address
400 RESERVOIR AVE STE 3K, PROVIDENCE, RI 02907-3565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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