Healthcare Provider Details

I. General information

NPI: 1750186516
Provider Name (Legal Business Name): PSYCH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 NARRAGANSETT PARK DR
PAWTUCKET RI
02861-4326
US

IV. Provider business mailing address

136 LEWISTON ST
WARWICK RI
02889-6026
US

V. Phone/Fax

Practice location:
  • Phone: 401-542-2655
  • Fax: 475-275-7187
Mailing address:
  • Phone: 401-542-2655
  • Fax: 475-275-7187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. DANTE-ALIESH PETERSON
Title or Position: OWNER, PSYCH SOLUTIONS LLC
Credential: FNP-C, PMHNP-BC
Phone: 401-542-2655