Organization
PROVIDENCE PARTNERS BEHAVIORAL HEALTHCARE LLP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN MARIE AVERSA (ADMINISTRATIVE MANAGER)
(401) 383-8349
Entity
Organization
Contact information
Practice address
225 NEWMAN AVE, RUMFORD, RI 02916-1218
(401) 383-8349
(401) 383-8030
Mailing address
225 NEWMAN AVE, RUMFORD, RI 02916-1218
(401) 383-8349
(401) 383-8030
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ISW01147
RI
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00312
RI
101YM0800X
Mental Health Counselor
Primary
MHC00156
RI
106H00000X
Marriage & Family Therapist
—
RI
Other
Enumeration date
09/02/2015
Last updated
09/21/2015
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