| Breakwater Counseling, Llc | |
|
2090 Wallum Lake Rd Pascoag RI 02859-1813 | |
| (401) 426-2954 | |
| Not Available |
| Full Name | Breakwater Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2090 Wallum Lake Rd, Pascoag, Rhode Island |
| Authorized Official Name and Position | Tiffany Martin (OWNER) |
| Authorized Official Contact | 4013382741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakwater Counseling, Llc Po Box 154 Cumberland RI 02864-0154 Ph: (401) 426-2954 | Breakwater Counseling, Llc 2090 Wallum Lake Rd Pascoag RI 02859-1813 Ph: (401) 426-2954 |
| NPI Number | 1871360388 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871360388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Wellone Behaviorial Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 High Street, Pascoag, RI 02859 Phone: 401-567-0800 Fax: 401-567-0900 | |
Northern Ri Counseling Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 High St Unit 1, Pascoag, RI 02859 Phone: 401-368-6614 |