NPI Code Details Logo

NPI 1457157869

NPI 1457157869 : SEFE THERAPY : NORTH SMITHFIELD, RI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1457157869
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SEFE THERAPY 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/25/2025
-----------------------------------------------------
    Last Update Date     |    02/25/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    398 CENTRAL ST 
-----------------------------------------------------
    City                 |    NORTH SMITHFIELD
-----------------------------------------------------
    State                |    RI
-----------------------------------------------------
    Zip                  |    02896-7603
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    209-298-7137
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    371 PUTNAM PIKE STE 230 
-----------------------------------------------------
    City                 |    SMITHFIELD
-----------------------------------------------------
    State                |    RI
-----------------------------------------------------
    Zip                  |    02917-2445
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    209-298-7137
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CLINICAL LICENSED SOCIAL WORKER
-----------------------------------------------------
    Name                 |    DR. EFE IGHO-OSAGIE SHAVERS 
-----------------------------------------------------
    Credential           |    LICSW, PH.D
-----------------------------------------------------
    Telephone            |    209-298-7137
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QM0850X
-----------------------------------------------------
    Taxonomy Name        |    Adult Mental Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.