Provider Demographics
NPI:1033482922
Name:THE CENTER FOR PSYCHOLOGICAL WELLNESS
Entity Type:Organization
Organization Name:THE CENTER FOR PSYCHOLOGICAL WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCIER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:401-739-1010
Mailing Address - Street 1:3296 POST RD STE 2A
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-7131
Mailing Address - Country:US
Mailing Address - Phone:401-739-1010
Mailing Address - Fax:
Practice Address - Street 1:3296 POST RD STE 2A
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-7131
Practice Address - Country:US
Practice Address - Phone:401-739-1010
Practice Address - Fax:401-739-1110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-23
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS01240103TB0200X
RIPS01160103TB0200X
RIPS00989103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty