Provider Demographics
NPI:1326875840
Name:RHODE ISLAND CENTER FOR OCD AND ANXIETY LLC
Entity type:Organization
Organization Name:RHODE ISLAND CENTER FOR OCD AND ANXIETY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CODY
Authorized Official - Middle Name:E
Authorized Official - Last Name:FOURNIER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:774-214-8076
Mailing Address - Street 1:13 AIRPORT RD # 1016
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-3401
Mailing Address - Country:US
Mailing Address - Phone:774-214-8076
Mailing Address - Fax:
Practice Address - Street 1:283 WILLIAMS CROSSING RD
Practice Address - Street 2:
Practice Address - City:COVENTRY
Practice Address - State:RI
Practice Address - Zip Code:02827
Practice Address - Country:US
Practice Address - Phone:401-269-5724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty