Healthcare Provider Details

I. General information

NPI: 1770285520
Provider Name (Legal Business Name): CARLA RICH LMHC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2023
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 JEFFERSON BLVD
WARWICK RI
02888-1028
US

IV. Provider business mailing address

67 JEFFERSON BLVD
WARWICK RI
02888-1028
US

V. Phone/Fax

Practice location:
  • Phone: 401-862-2795
  • Fax: 401-200-8049
Mailing address:
  • Phone: 401-862-2795
  • Fax: 401-200-8049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CARLA GREICHEN
Title or Position: LMHC
Credential: LMHC
Phone: 401-862-2795