| Organization Name: | THE CENTER FOR PSYCHOLOGICAL WELLNESS |
| NPI Number: | 1033482922 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN LUCIER (MEMBER) |
| Mailing Address: | 176 Toll Gate Rd Suite #303 Warwick |
| State: | RI US |
| Postal Code: | 028864482 |
| Phone Number: | 4017391010 |
| Fax Number: | 4017391110 |
| NPI Enumeration Date: | 02/23/2012 |
| NPI Last Update Date: | 04/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PS01160 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |