Provider Demographics
NPI:1679241210
Name:THE OPENING LLC
Entity Type:Organization
Organization Name:THE OPENING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOONSAMMY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:401-206-0110
Mailing Address - Street 1:42 LADD ST STE 319
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-4361
Mailing Address - Country:US
Mailing Address - Phone:401-206-0110
Mailing Address - Fax:401-789-2349
Practice Address - Street 1:42 LADD ST STE 319
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-4361
Practice Address - Country:US
Practice Address - Phone:401-206-0110
Practice Address - Fax:401-789-2349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty