| Bayside Counseling, Llc | |
|
110 Main St Suite 202 East Greenwich RI 02818-4072 | |
| (401) 263-3003 | |
| Not Available |
| Full Name | Bayside Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 110 Main St, East Greenwich, Rhode Island |
| Authorized Official Name and Position | Elizabeth Ann Feisthamel (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4012633003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Counseling, Llc 110 Main St Suite 202 East Greenwich RI 02818-4072 Ph: () - | Bayside Counseling, Llc 110 Main St Suite 202 East Greenwich RI 02818-4072 Ph: (401) 263-3003 |
| NPI Number | 1225334881 |
|---|---|
| Provider Enumeration Date | 01/31/2011 |
| Last Update Date | 02/04/2011 |
| Medicare PECOS PAC ID | 1557670379 |
|---|---|
| Medicare Enrollment ID | O20151019001117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225334881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | ISW01171 (Rhode Island) | Primary |
| Provider Name | Elizabeth A Feisthamel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558306951 PECOS PAC ID: 4587660170 Enrollment ID: I20061004000226 |
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