Community Counseling Partnerships LLC
Psychologist, Clinical in Providence, RI. Organization (NPI-2).
NPI number1760201628
StatusActive
Last updated in NPPESDec 11, 2024
Details
- NPI
- 1760201628
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Counseling Partnerships LLC
- Organization subpart
- No
- Enumeration date
- Oct 8, 2024
- Certification date
- Dec 4, 2024
- Last updated
- Dec 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
340 BroadwayProvidence, RI 02909-1102
Phone 401-714-7440
Mailing address
340 BroadwayProvidence, RI 02909-1102
Authorized official
Michael Eltz
Co-Owner
4017147440
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