PSYCHE1001 LEARN GROW CHANGE LLC NPI 1457894628

NPI Information

NPI: 1457894628
Provider Name: PSYCHE1001 LEARN GROW CHANGE LLC
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Organization

Specialization: Psychiatric/Mental Health, Adult

Address:
638 ADAMSVILLE RD
SUITE 1001
WESTPORT, MA
ZIP 02790
Phone: (508) 636-4769
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PSYCHE1001 LEARN GROW CHANGE LLC is a psychiatric/mental health and adult clinical nurse specialist in Westport, MA. PSYCHE1001 LEARN GROW CHANGE LLC NPI is 1457894628. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

638 ADAMSVILLE RD
SUITE 1001
WESTPORT, MA
ZIP 02790-031
Phone: (508) 636-4769
Fax: (508) 636-6463

The provider's authorized official is Marci A Mcnicol .
The authorized official title is Owner and has the following contact phone number (508) 636-4769.

The enumeration date for this NPI number is 11/21/2016 and was last updated on 11/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	APRN00561	RHODE ISLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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