Nickolas Desousa Fitzgerald, CCHW
NPI #1114719515 in Hope Valley, Rhode Island
Provider Information
- NPI Number
- 1114719515
- Entity Type
- Individual
- Name
- Nickolas Desousa Fitzgerald, CCHW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Credential
- CCHW
- Enumeration Date
- May 21, 2025
- Last Updated
- May 23, 2025
Practice Location
- Address
- 823 MAIN ST
- City
- Hope Valley
- State
- Rhode Island
- ZIP Code
- 02832-1920
- Phone
- (401) 539-2461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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Organizations
| Provider Name | |
|---|---|
| Thrive Behavioral Health, Inc. |
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