Healthcare Provider Details

I. General information

NPI: 1639701659
Provider Name (Legal Business Name): LAURA TUSCANI LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2020
Last Update Date: 08/03/2024
Certification Date: 08/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 TOLL GATE RD STE 300
WARWICK RI
02886-4416
US

IV. Provider business mailing address

4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE AZ
85251-7630
US

V. Phone/Fax

Practice location:
  • Phone: 401-467-0333
  • Fax:
Mailing address:
  • Phone: 401-467-0333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC01045
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: