NPI 1043985633 · live from the CMS NPI Registry
Archer Mental Wellness, LLC
Marriage & Family Therapist in Pawtucket, RI. National Provider Identifier 1043985633, active.
NPI record
| NPI | 1043985633 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 63 Bristol Ave, Pawtucket, RI 02861 |
| Practice phone | 401-572-8052 |
| Enumerated | August 16, 2021 |
| Last updated | August 16, 2021 |
| Authorized official | Lisandra Dju, Owner/Therapist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.