Organization · NPI-2

Vanguard Psychiatry And Wellness, LLC

Clinical Nurse Specialist · Providence, RI

NPI number1982552899
StatusActive
Last updated in NPPESMay 29, 2026

Details

NPI
1982552899
Entity type
Organization (NPI-2)
Legal business name
Vanguard Psychiatry And Wellness, LLC
Organization subpart
No
Enumeration date
Mar 17, 2026
Certification date
May 29, 2026
Last updated
May 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364S00000X Clinical Nurse Specialist––Yes

Practice location

10 Dorrance St Ste 706
Providence, RI 02903-2014

Phone 401-447-4241 · Fax 401-804-0401

Mailing address

10 Dorrance St Ste 706
Providence, RI 02903-2014

Phone 401-447-4241

Authorized official

Mozart Telles
Owner
4014474241

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