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General NPI Number Information
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NPI Number | 1013851112
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Entity Type | Organization
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Legal Business Name | EVA THERAPY & WELLNESS
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 24 AMEY ST FL 3
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City | PAWTUCKET
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State | RI
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Zip | 02860-1107
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Country | US
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Telephone | 401-271-6191
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Fax | 401-859-6988
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Provider Business Mailing Address
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Address Line | PO BOX 12
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City | PAWTUCKET
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State | RI
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Zip | 02862-0012
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Country | US
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Telephone | 401-271-6191
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Fax | 401-859-6988
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Authorized Official
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Title or Position | OWNER/CLINICAL SOCIAL WORKER
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Name | MS. LIANI LUISA MOORE
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Credential | LICSW
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Telephone | 401-271-6191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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