Provider Demographics
NPI:1811567993
Name:INCLUSIVE WELLNESS PSYCHOLOGY
Entity Type:Organization
Organization Name:INCLUSIVE WELLNESS PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RABIDEAU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:401-203-3221
Mailing Address - Street 1:60 S ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-1612
Mailing Address - Country:US
Mailing Address - Phone:401-203-3221
Mailing Address - Fax:
Practice Address - Street 1:154 WATERMAN ST STE 1
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-3116
Practice Address - Country:US
Practice Address - Phone:401-203-3221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)