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Search › Rhode Island › 364SP0808X

Mozart Telles, CNS

NPI 1295624047 · on the registry since 2025 · sole proprietor

Practice

Address
10 Dorrance St Ste 706
Providence, RI 02903
Phone
(401) 447-4241
Fax
(401) 804-0401
Organisation at this address
Monarch
Merewell
Dtg Ii Pllc
Kahak Ri Inc
Vp Fitness, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
176

Registry record

Primary taxonomy
364SP0808X
364SP0808X
Also registered as
364SP0810X
364SP0813X
364SP0809X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island