person
Samantha Phipps-moore, LCDP
Addiction (Substance Use Disorder) Counselor in Providence, Rhode Island
NPI 1598302291

Samantha Phipps-moore is an Addiction (Substance Use Disorder) Counselor based in North Providence, RI and is specialized in Addiction (Substance Use Disorder). Samantha Phipps-moore practices in Providence, RI and has the professional credentials of LCDP. The NPI Number for Samantha Phipps-moore is 1598302291 and holds a License No. CDP00823 (Rhode Island).

The current practice location address for Samantha Phipps-moore is 530 N Main St, Providence, RI and can be reached out via phone at 401-453-7618 and via fax at 401-453-7692.

Location: 530 N Main St, Providence, RI, 02911-1612
person
Provider Profile Details
NPI Number
1598302291
Provider Name
Samantha Phipps-moore
Credential
LCDP
Provider Entity Type
Individual
Gender
Female
Address
530 N Main St, Providence, RI, 02911-1612
Phone Number
401-453-7618
Fax Number
401-453-7692
Provider Enumeration Date
12/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 N Main St
City
State
Zip
02904-5762
Phone Number
401-453-7618
Fax Number
401-453-7692
person
Provider Business Mailing Address Details
Address
530 N Main St
City
State
Zip
02904-5762
Phone Number
401-453-7618
Fax Number
401-453-7692
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDP00823 (Rhode Island)
Definition
Definition to come...
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