NPI 1275346330
Wild Heart Marriage & Family Counseling
Practice location
- Address
- 126 Prospect St STE 210, Pawtucket, RI 02860-4429
- Phone
- (323) 839-6925
- Mailing address
- PO Box 41, North Attleboro, MA 02761-0041
Authorised official
- Name
- Dejuan L Evans
- Title
- Ceo
- Phone
- (323) 839-6925
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1275346330
- Entity type
- Organization
- NPI issued
- 30 Jan 2025
- Record last updated
- 30 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.