Lisandra Dju
Individual provider Active NPI Marriage & Family Therapist · Providence, RI
NPI 1487257523 · NPPES record last updated Nov 20, 2020
Key facts
- NPI
- 1487257523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT00218 (RI)
- Practice address
- 55 Hope St
Providence, RI 02906-2001 - Phone
- (401) 331-1350
- NPI assigned
- Nov 20, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT00218 | RI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archer Mental Wellness, LLC | Marriage & Family Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT00218 | RI | Yes |
Addresses
Primary practice location
55 Hope St
Providence, RI 02906-2001
Mailing address
63 Bristol Ave
Pawtucket, RI 02861-2117
Phone (401) 572-8052
Other providers in Providence, RI
- Lutdavone Kitta Dixon
- Meredith L. Dixon
- Beata Elzbieta Dizoglio
- Don S Dizon
- Kevin Djatcha
- Le Hanh Dung DO
- William Ellis Doak
- Kelvin Nam Doan
- Cody Doberstein
- Curtis Doberstein
All providers in Providence, RI · Marriage & Family Therapist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.