Healthcare Provider Details

I. General information

NPI: 1003069741
Provider Name (Legal Business Name): LOOKING UPWARDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2008
Last Update Date: 10/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

438 E MAIN RD
MIDDLETOWN RI
02842-7263
US

IV. Provider business mailing address

438 E MAIN RD
MIDDLETOWN RI
02842-7263
US

V. Phone/Fax

Practice location:
  • Phone: 401-847-0960
  • Fax: 401-324-6804
Mailing address:
  • Phone: 401-847-0960
  • Fax: 401-324-6804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LISA M LASKY
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 401-847-0960