| Center For Integrated Psychotherapy, Llc | |
|
1130 Ten Rod Rd Suite D-307a North Kingstown RI 02852-4161 | |
| (401) 294-9323 | |
| (401) 294-9320 |
| Full Name | Center For Integrated Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1130 Ten Rod Rd, North Kingstown, Rhode Island |
| Authorized Official Name and Position | Laurie Rackley-joseph (MEMBER AND LICENSED PSYCHOTHERAPIST) |
| Authorized Official Contact | 4012949323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Integrated Psychotherapy, Llc 1130 Ten Rod Rd Suite D-307a North Kingstown RI 02852-4161 Ph: (401) 294-9323 | Center For Integrated Psychotherapy, Llc 1130 Ten Rod Rd Suite D-307a North Kingstown RI 02852-4161 Ph: (401) 294-9323 |
| NPI Number | 1992058580 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 10/19/2012 |
| Medicare PECOS PAC ID | 0749435808 |
|---|---|
| Medicare Enrollment ID | O20130222000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992058580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW02018 (Rhode Island) | Primary |
| Provider Name | Laurie C Rackley Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659605384 PECOS PAC ID: 4486793064 Enrollment ID: I20091120000670 |
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