Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Empowered Legacy Center

Organization Clinical Psychologist · NPI 1710702204

Empowered Legacy Center is a Clinical Psychologist in Johnston, Rhode Island. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1200 Hartford Ave Ste 3B
Johnston, RI 02919-7143
Phone: (401) 263-0778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1710702204
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Paul — Therapist · (401) 263-0778
Other names None; None
NPI enumeratedNovember 19, 2024
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address1200 Hartford Ave Ste 3b, Johnston, RI 02919-7143

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