Healthcare Provider Details

I. General information

NPI: 1457157869
Provider Name (Legal Business Name): SEFE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

398 CENTRAL ST
NORTH SMITHFIELD RI
02896-7603
US

IV. Provider business mailing address

371 PUTNAM PIKE STE 230
SMITHFIELD RI
02917-2445
US

V. Phone/Fax

Practice location:
  • Phone: 209-298-7137
  • Fax:
Mailing address:
  • Phone: 209-298-7137
  • 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: DR. EFE IGHO-OSAGIE SHAVERS
Title or Position: CLINICAL LICENSED SOCIAL WORKER
Credential: LICSW, PH.D
Phone: 209-298-7137