Individual provider · Type 1 NPI

Samantha Phipps-Moore, LCDP

Addiction (Substance Use Disorder) Counselor · Providence, RI

NPI number 1598302291 Active

Practice location

530 N Main St
Providence, RI 02904-5762

Call (401) 453-7618 Map

Fax (401) 453-7692

Mailing address

27 George St
North Providence, RI 02911-1612

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDP00823 (RI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1598302291

Samantha Phipps-Moore, LCDP's National Provider Identifier is 1598302291, issued on Dec 2, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Providence, RI. The record was last updated on Dec 2, 2019.