Healthcare Provider Details

I. General information

NPI: 1073313920
Provider Name (Legal Business Name): THE GARDEN OF PEACE COUNSELING AND CASE MANAGEMENT SERVICES LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 EAGLE RD # 1
CRANSTON RI
02920-1203
US

IV. Provider business mailing address

27 EAGLE RD # 1
CRANSTON RI
02920-1203
US

V. Phone/Fax

Practice location:
  • Phone: 401-215-0265
  • Fax:
Mailing address:
  • Phone: 401-215-0265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GISELE TERRERO
Title or Position: OWNER
Credential: LCDP
Phone: 401-215-0265