| Inclusive Wellness Psychology | |
|
154 Waterman St Ste 1 Providence RI 02906-3116 | |
| (401) 203-3221 | |
| Not Available |
| Full Name | Inclusive Wellness Psychology |
|---|---|
| Speciality | Clinic/Center |
| Location | 154 Waterman St Ste 1, Providence, Rhode Island |
| Authorized Official Name and Position | Erin Rabideau (DR) |
| Authorized Official Contact | 4012033221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inclusive Wellness Psychology 60 S Atlantic Ave Warwick RI 02888-1612 Ph: (401) 203-3221 | Inclusive Wellness Psychology 154 Waterman St Ste 1 Providence RI 02906-3116 Ph: (401) 203-3221 |
| NPI Number | 1811567993 |
|---|---|
| Provider Enumeration Date | 06/30/2021 |
| Last Update Date | 06/30/2021 |
| Certification Date | 06/30/2021 |
| Medicare PECOS PAC ID | 5799187183 |
|---|---|
| Medicare Enrollment ID | O20210707003320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811567993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Erin M Rabideau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932658044 PECOS PAC ID: 4789966920 Enrollment ID: I20170123001868 |
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