| Phases Counseling And Mediation Center Llc | |
|
70 Hood Ave Rumford RI 02916-1545 | |
| (973) 809-8253 | |
| Not Available |
| Full Name | Phases Counseling And Mediation Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 70 Hood Ave, Rumford, Rhode Island |
| Authorized Official Name and Position | Julia Lee Gaw (CLINICIAN/OWNER) |
| Authorized Official Contact | 4014241364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phases Counseling And Mediation Center Llc 70 Hood Ave Rumford RI 02916-1545 Ph: (973) 809-8253 | Phases Counseling And Mediation Center Llc 70 Hood Ave Rumford RI 02916-1545 Ph: (973) 809-8253 |
| NPI Number | 1023894797 |
|---|---|
| Provider Enumeration Date | 09/07/2023 |
| Last Update Date | 09/07/2023 |
| Certification Date | 09/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023894797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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