| The Goodwell Practice Llc | |
|
643 East Ave Unit 8 Warwick RI 02886-0500 | |
| (401) 310-3856 | |
| Not Available |
| Full Name | The Goodwell Practice Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 643 East Ave Unit 8, Warwick, Rhode Island |
| Authorized Official Name and Position | Steffen Gillom (MEMBER) |
| Authorized Official Contact | 4013103856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Goodwell Practice Llc 643 East Ave Unit 8 Warwick RI 02886-0500 Ph: (401) 310-3856 | The Goodwell Practice Llc 643 East Ave Unit 8 Warwick RI 02886-0500 Ph: (401) 310-3856 |
| NPI Number | 1205798725 |
|---|---|
| Provider Enumeration Date | 12/02/2025 |
| Last Update Date | 04/22/2026 |
| Certification Date | 04/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205798725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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