Organization
CANAAN PSYCHOTHERAPY INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA P LONGWAY APRN CNS (PRESIDENT)
(401) 338-3782
Entity
Organization
Contact information
Practice address
828 TOLL GATE RD, WARWICK, RI 02886-2721
(401) 385-3936
(401) 397-3488
Mailing address
140 LAKE DR, WEST GREENWICH, RI 02817-1563
(401) 338-3782
(401) 397-3488
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
CAPRN00031
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861447831
BCBSRI
RI
01
—
BNP001353
BEACON HEALTH OPTIONS
RI
Enumeration date
11/22/2017
Last updated
08/01/2025
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