Provider Demographics
NPI:1770760993
Name:GROUP BY DESIGN, LLP
Entity type:Organization
Organization Name:GROUP BY DESIGN, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:EVEN
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV, MSW
Authorized Official - Phone:401-454-2890
Mailing Address - Street 1:1 RICHMOND SQ
Mailing Address - Street 2:SUITE 122C
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-5139
Mailing Address - Country:US
Mailing Address - Phone:401-454-2890
Mailing Address - Fax:401-351-8020
Practice Address - Street 1:1 RICHMOND SQ
Practice Address - Street 2:SUITE 122C
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-5139
Practice Address - Country:US
Practice Address - Phone:401-454-2890
Practice Address - Fax:401-351-8020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW001861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty