Organization · Type 2 NPI
Gods Own Holistic Behavioral Counseling PC
Psychiatric/Mental Health Nurse Practitioner · Pawtucket, RI
NPI number
1215867247
Active
Practice location
32 Wendell St
Pawtucket, RI 02861-1245
Mailing address
356 Prospect St
Brockton, MA 02301-3368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1215867247
Gods Own Holistic Behavioral Counseling PC's National Provider Identifier is 1215867247, issued on May 21, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pawtucket, RI. The record was last updated on May 21, 2026.