Archer Mental Wellness, LLC

Organization Active NPI Marriage & Family Therapist · Pawtucket, RI

NPI 1043985633 · NPPES record last updated Aug 16, 2021

Key facts

NPI
1043985633
Entity type
Organization (NPI type 2)
Primary specialty
Marriage & Family Therapist 106H00000X
Legal business name
ARCHER MENTAL WELLNESS, LLC
Practice address
63 Bristol Ave
Pawtucket, RI 02861-2117
Phone
(401) 572-8052
NPI assigned
Aug 16, 2021
Organization subpart
No

Authorized official

Name
Lisandra De Lacerda Dju, LMFT
Title
Owner/Therapist
Phone
(401) 572-8052

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
106H00000X Yes

Addresses

Primary practice location

63 Bristol Ave
Pawtucket, RI 02861-2117

Mailing address

63 Bristol Ave
Pawtucket, RI 02861-2117

Other providers in Pawtucket, RI

All providers in Pawtucket, RI · Marriage & Family Therapist in Rhode Island

Sources for this page

Verify at the official NPI Registry.