| Victoria Enders, LMHC, LCDP | |
|
15 Douglas Ter Apt 607, North Providence, RI 02904-3446 | |
| (401) 867-0237 | |
| Not Available |
| Full Name | Victoria Enders |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 15 Douglas Ter Apt 607, 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 |
|---|---|---|---|
| 1730874371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDP00910 (Rhode Island) | Secondary |
| 101YM0800X | Counselor - Mental Health | MHC01057 (Rhode Island) | Primary |
| Entity Name | The Providence Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104847946 PECOS PAC ID: 9739080292 Enrollment ID: O20040116000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Enders, LMHC, LCDP 15 Douglas Ter Apt 607, North Providence, RI 02904-3446 Ph: (401) 867-0237 | Victoria Enders, LMHC, LCDP 15 Douglas Ter Apt 607, North Providence, RI 02904-3446 Ph: (401) 867-0237 |
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 |