Organization
EMDR & SOMATIC PSYCHOTHERAPIES OF RHODE ISLAND
Active
Other names
South County Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MADRONE PHOENIX LICSW (OWNER)
(401) 297-0692
Entity
Organization
Contact information
Practice address
1 RICHMOND SQ STE 333C, PROVIDENCE, RI 02906-5139
(401) 441-5834
(401) 210-8248
Mailing address
PO BOX 5, KINGSTON, RI 02881-0005
(401) 441-5834
(401) 210-8248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/01/2021
Last updated
10/13/2022
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