Provider Demographics
NPI:1093576530
Name:MG THERAPY LLC
Entity Type:Organization
Organization Name:MG THERAPY LLC
Other - Org Name:MG THERAPY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GIANFRANCESCO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:401-240-1639
Mailing Address - Street 1:26 ITALY ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02908-2436
Mailing Address - Country:US
Mailing Address - Phone:401-573-5871
Mailing Address - Fax:401-425-6715
Practice Address - Street 1:75 SOCKANOSSET CROSS RD STE 206
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-5558
Practice Address - Country:US
Practice Address - Phone:401-240-1639
Practice Address - Fax:401-425-6715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty