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General NPI Number Information
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NPI Number | 1265391858
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Entity Type | Organization
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Legal Business Name | METANOIA THERAPY AND WELLNESS, LLC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 390 MAIN ST UNIT 8
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City | SOUTH KINGSTOWN
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State | RI
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Zip | 02879-7407
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Country | US
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Telephone | 401-360-6083
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Fax | 401-267-1210
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Provider Business Mailing Address
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Address Line | 375 OAKWOODS DR
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City | SOUTH KINGSTOWN
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State | RI
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Zip | 02879-1708
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Country | US
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Telephone | 401-360-6083
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Fax | 401-267-1210
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Authorized Official
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Title or Position | OWNER/LEAD CLINICAL THERAPIST
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Name | JESSICA L HAYES
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Credential | LICSW
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Telephone | 203-770-1784
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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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