Provider Demographics
NPI:1881796951
Name:FAMILY MATTERS
Entity type:Organization
Organization Name:FAMILY MATTERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:CLARK
Authorized Official - Last Name:WOODARD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:401-737-0820
Mailing Address - Street 1:500 JEFFERSON BLVD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1362
Mailing Address - Country:US
Mailing Address - Phone:401-737-0820
Mailing Address - Fax:401-737-0830
Practice Address - Street 1:500 JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1362
Practice Address - Country:US
Practice Address - Phone:401-737-0820
Practice Address - Fax:401-737-0830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00272101YM0800X
RIISW002211041C0700X
RIMFT00096106H00000X
RIMFT00049106H00000X
RIMFT00098106H00000X
RIMFT00055106H00000X
RIMHC00354101YM0800X
RIMFT00122106H00000X
RIMHC00461101YM0800X
RIMFT00089106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty