Wild Heart Marriage & Family Counseling
NPI #1275346330 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1275346330
- Entity Type
- Organization
- Organization Name
- Wild Heart Marriage & Family Counseling
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Jan 30, 2025
- Last Updated
- Jan 30, 2025
Practice Location
- Address
- 126 PROSPECT ST STE 210
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02860-4429
- Phone
- (323) 839-6925
Authorized Official
- Name
- MS. DEJUAN L EVANS, LMFT
- Title
- CEO
- Phone
- (323) 839-6925
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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