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NPI 1679248108 · live from the CMS NPI Registry

Arise Psychotherapy Services, INC

Social Worker, Clinical in East Providence, RI. National Provider Identifier 1679248108, active.

NPI record

NPI1679248108 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location410 N Broadway, East Providence, RI 02914
Practice phone401-320-4458
Mailing address85 Kimberly Dr, West Greenwich, RI 02817
EnumeratedAugust 16, 2021
Last updatedApril 20, 2025
Authorized officialAndrew Leonard, Owner/Lead Clinician

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional101YP2500X—
Social Worker, Clinical primary1041C0700X—
Marriage & Family Therapist106H00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.