Canaan Psychotherapy INC,
Clinical Nurse Specialist, Psych/Mental Health, Adult in Warwick, RI. Organization (NPI-2).
NPI number1982118295
StatusActive
Last updated in NPPESAug 1, 2025
Details
- NPI
- 1982118295
- Entity type
- Organization (NPI-2)
- Legal business name
- Canaan Psychotherapy INC,
- Organization subpart
- No
- Enumeration date
- Nov 22, 2017
- Certification date
- Aug 1, 2025
- Last updated
- Aug 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SP0809X | Clinical Nurse Specialist, Psych/Mental Health, Adult | CAPRN00031 | RI | Yes |
Practice location
828 Toll Gate RdWarwick, RI 02886-2721
Phone 401-385-3936 · Fax 401-397-3488
Mailing address
140 Lake DrWest Greenwich, RI 02817-1563
Phone 401-338-3782 · Fax 401-397-3488
Authorized official
Cynthia P Longway
President
4013383782
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