Organization
VANGUARD PSYCHIATRY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOZART TELLES PMHNP (OWNER)
(401) 447-4241
Entity
Organization
Contact information
Practice address
10 DORRANCE ST STE 706, PROVIDENCE, RI 02903-2014
(401) 447-4241
(401) 804-0401
Mailing address
10 DORRANCE ST STE 706, PROVIDENCE, RI 02903-2014
(401) 447-4241
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
364S00000X
Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
03/17/2026
Last updated
05/29/2026
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