Ms Cory Elizabeth Costa, MS | |
420 Fruit Hill Ave, North Providence, RI 02911-2626 | |
(401) 353-3900 | |
Not Available |
Full Name | Ms Cory Elizabeth Costa |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 420 Fruit Hill Ave, North Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962722512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Southcoast Physicians Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
Mailing Address | Practice Location Address |
---|---|
Ms Cory Elizabeth Costa, MS 106 Reading St, Fall River, MA 02720-6222 Ph: (781) 686-3088 | Ms Cory Elizabeth Costa, MS 420 Fruit Hill Ave, North Providence, RI 02911-2626 Ph: (401) 353-3900 |
Celestina Okai, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Bellevue Ave, North Providence, RI 02911 Phone: 401-837-6708 | |
Jonathan Mccarthy, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Fruit Hill Ave, North Providence, RI 02911 Phone: 401-651-3702 Fax: 401-354-7986 | |
Mr. Jeffrey Leonard Bibeau, MAST Counselor Medicare: Not Enrolled in Medicare Practice Location: 429 Fruit Hill Ave, North Providence, RI 02911 Phone: 401-353-3900 Fax: 401-354-7986 | |
Mrs. Kelly Lynn Tufano, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 92 Cottage Ave, North Providence, RI 02911 Phone: 401-286-8924 | |
Miss Jennifer Mary Prendergast, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Fruit Hill Ave, North Providence, RI 02911 Phone: 401-353-3900 Fax: 401-354-7986 | |
Ms. Helene Penza, MA CAGS ACS Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 High Service Avenue, North Providence, RI 02911 Phone: 401-354-4318 Fax: 401-354-0018 | |
Ms. Angelica Spirito, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Fruit Hill Ave., North Providence, RI 02911 Phone: 401-353-3900 Fax: 401-784-3549 |