BROADWAY PSYCHOTHERAPY, INC.

PROVIDENCE, RI
NPI1811162316
Former Legal Business NameHEALTH BEHAVIOR CONSULTANTS, INC.
Entity TypeOrganization
Authorized ContactJEFFREY P. MIGNEAULT
President
401-270-9808
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: RI  PS00585)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: RI  ISW00174)
Enumeration Date2008-04-25
Last Update Date2017-05-03
Business Address
BROADWAY PSYCHOTHERAPY, INC.
347 BROADWAY
PROVIDENCE, RI 02909-1101
Phone number: 401-270-9808
Mailing Address
BROADWAY PSYCHOTHERAPY, INC.
347 BROADWAY
PROVIDENCE, RI 02909-1101
Phone number: 401-270-9808