The Goodwell Practice LLC
NPI #1205798725 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1205798725
- Entity Type
- Organization
- Organization Name
- The Goodwell Practice LLC
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Dec 2, 2025
- Last Updated
- Dec 2, 2025
Practice Location
- Address
- 700 NARRAGANSETT PARK DR STE 100
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02861-4326
- Phone
- (401) 310-3856
Authorized Official
- Name
- STEFFEN GILLOM, PHD, LMFT
- Title
- MEMBER
- Phone
- (401) 310-3856
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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