| Soul Gardening Llc | |
|
69 Montgomery St Ste 3 Pawtucket RI 02860-2046 | |
| (401) 307-1718 | |
| Not Available |
| Full Name | Soul Gardening Llc |
|---|---|
| Speciality | Social Worker |
| Location | 69 Montgomery St Ste 3, Pawtucket, Rhode Island |
| Authorized Official Name and Position | Patricia Alvarez (OWNER) |
| Authorized Official Contact | 7743215778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Gardening Llc 69 Montgomery St Ste 3 Pawtucket RI 02860-2046 Ph: (401) 307-1718 | Soul Gardening Llc 69 Montgomery St Ste 3 Pawtucket RI 02860-2046 Ph: (401) 307-1718 |
| NPI Number | 1134804719 |
|---|---|
| Provider Enumeration Date | 06/20/2023 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Medicare PECOS PAC ID | 1658726088 |
|---|---|
| Medicare Enrollment ID | O20231004003532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134804719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Patricia Nievez Alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114206521 PECOS PAC ID: 2567817992 Enrollment ID: I20231004003724 |
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