Healthcare Provider Details

I. General information

NPI: 1962320135
Provider Name (Legal Business Name): ATC THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2980 W SHORE RD STE 5
WARWICK RI
02886-5422
US

IV. Provider business mailing address

2980 W SHORE RD STE 5
WARWICK RI
02886-5422
US

V. Phone/Fax

Practice location:
  • Phone: 508-938-9307
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ABBIGAYLE CORIA
Title or Position: THERAPIST/ OWNER
Credential: LMFT
Phone: 508-938-9307