Organization · Type 2 NPI

Phases Counseling and Mediation Center LLC

Mental Health Counselor · Rumford, RI

NPI number 1023894797 Active

Practice location

70 Hood Ave
Rumford, RI 02916-1545

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

Another provider at this address

Julia GawMental Health Counselor Rumford, RI NPI 1972056711

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NPI record

NPI: 1023894797
Entity type: Organization (Type 2)
Issued: Sep 7, 2023
Last updated: Sep 7, 2023
Status: Active
Subpart: Yes of Phases Counseling and Mediation Center LLC

Other names

Phases Counseling and Mediation Center · doing business as

Authorized official

Julia Lee Gaw, LMHC
Clinician/owner
(401) 424-1364

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023894797

Phases Counseling and Mediation Center LLC's National Provider Identifier is 1023894797, issued on Sep 7, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rumford, RI. The record was last updated on Sep 7, 2023.