Organization · Type 2 NPI

Inneract

Mental Health Counselor · Providence, RI

NPI number 1497630057 Active

Practice location

331 Broadway
Providence, RI 02909-1101

Mailing address

21 West St
Providence, RI 02903-3555

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1497630057

Inneract's National Provider Identifier is 1497630057, issued on Aug 11, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Providence, RI. The record was last updated on Dec 24, 2025.