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General NPI Number Information
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NPI Number | 1568326197
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Entity Type | Organization
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Legal Business Name | THE RHODY HAVEN
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 435 LAUREL HILL AVE
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City | CRANSTON
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State | RI
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Zip | 02920-7644
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Country | US
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Telephone | 401-376-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 435 LAUREL HILL AVE
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City | CRANSTON
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State | RI
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Zip | 02920-7644
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Country | US
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Telephone | 401-376-7246
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND EXECUTIVE DIRECTOR
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Name | JAZLYN J MITCHELL
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Credential | LCSW
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Telephone | 401-376-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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