| Eclectic-mosaic Wellness, Llc | |
|
15 Hanson St North Providence RI 02911-3408 | |
| (401) 484-1616 | |
| Not Available |
| Full Name | Eclectic-mosaic Wellness, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 15 Hanson St, North Providence, Rhode Island |
| Authorized Official Name and Position | Anthony Vario (OWNER/PARTNER) |
| Authorized Official Contact | 4014841616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eclectic-mosaic Wellness, Llc 15 Hanson St North Providence RI 02911-3408 Ph: (401) 484-1616 | Eclectic-mosaic Wellness, Llc 15 Hanson St North Providence RI 02911-3408 Ph: (401) 484-1616 |
| NPI Number | 1356234884 |
|---|---|
| Provider Enumeration Date | 06/02/2025 |
| Last Update Date | 07/01/2025 |
| Certification Date | 07/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356234884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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