| Carol A. G. Gillen, Lmhc, Llc | |
|
28 Cedar Swamp Rd Unit 206 Smithfield RI 02917-2447 | |
| (401) 222-9882 | |
| (401) 648-4854 |
| Full Name | Carol A. G. Gillen, Lmhc, Llc |
|---|---|
| Speciality | Counselor |
| Location | 28 Cedar Swamp Rd Unit 206, Smithfield, Rhode Island |
| Authorized Official Name and Position | Carol Ann Gendron Gillen (OWNER) |
| Authorized Official Contact | 4012229882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol A. G. Gillen, Lmhc, Llc 28 Cedar Swamp Rd Unit 206 Smithfield RI 02917-2447 Ph: (401) 222-9882 | Carol A. G. Gillen, Lmhc, Llc 28 Cedar Swamp Rd Unit 206 Smithfield RI 02917-2447 Ph: (401) 222-9882 |
| NPI Number | 1336619006 |
|---|---|
| Provider Enumeration Date | 11/26/2018 |
| Last Update Date | 11/26/2018 |
| Medicare PECOS PAC ID | 1850735580 |
|---|---|
| Medicare Enrollment ID | O20240221000765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336619006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Carol Ann Gendron Gillen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821494915 PECOS PAC ID: 2769826494 Enrollment ID: I20240221000986 |
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