Healthcare Provider Details

I. General information

NPI: 1023829157
Provider Name (Legal Business Name): CARI L. CUESTA, LMHC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

982 TIOGUE AVE STE 210
COVENTRY RI
02816-6116
US

IV. Provider business mailing address

982 TIOGUE AVE STE 210
COVENTRY RI
02816-6116
US

V. Phone/Fax

Practice location:
  • Phone: 401-954-5929
  • Fax:
Mailing address:
  • Phone: 401-954-5929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. CARI CUESTA
Title or Position: OWNER
Credential: LMHC
Phone: 401-954-5929