NPI 1942467956 · live from the CMS NPI Registry
Eden Gail Chace
Marriage & Family Therapist in Riverside, RI. National Provider Identifier 1942467956, active.
NPI record
| NPI | 1942467956 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 1011 Veterans Memorial Pkwy, Riverside, RI 02915 |
| Practice phone | 401-432-1000 |
| Mailing address | 15 La Salle Sq, Providence, RI 02903 |
| Enumerated | May 19, 2008 |
| Last updated | November 20, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 113328 (CA) |
| Marriage & Family Therapist primary | 106H00000X | MFT00303 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.