| Christine Richards Llc | |
|
310 Twin River Rd Lincoln RI 02865-5033 | |
| (508) 454-7770 | |
| (401) 354-4445 |
| Full Name | Christine Richards Llc |
|---|---|
| Speciality | Counselor |
| Location | 310 Twin River Rd, Lincoln, Rhode Island |
| Authorized Official Name and Position | Christine Richards (OWNER) |
| Authorized Official Contact | 5084547770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Richards Llc Po Box 6922 Providence RI 02940-6922 Ph: (508) 454-7770 | Christine Richards Llc 310 Twin River Rd Lincoln RI 02865-5033 Ph: (508) 454-7770 |
| NPI Number | 1194395657 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 07/10/2022 |
| Certification Date | 07/10/2022 |
| Medicare PECOS PAC ID | 2365835048 |
|---|---|
| Medicare Enrollment ID | O20220201001161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194395657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| Provider Name | Christine R Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306813985 PECOS PAC ID: 9739080144 Enrollment ID: I20120306000229 |
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