Island Counseling Services, Llc | |
575 E Main Rd Unit 3a Middletown RI 02842-5288 | |
(401) 344-9027 | |
Not Available |
Full Name | Island Counseling Services, Llc |
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Speciality | Counselor |
Location | 575 E Main Rd Unit 3a, Middletown, Rhode Island |
Authorized Official Name and Position | Kate Keelty (LICENSED MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 4013449027 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Island Counseling Services, Llc 444 Water St Portsmouth RI 02871-4227 Ph: (401) 225-7586 | Island Counseling Services, Llc 575 E Main Rd Unit 3a Middletown RI 02842-5288 Ph: (401) 344-9027 |
NPI Number | 1396509022 |
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Provider Enumeration Date | 02/13/2024 |
Last Update Date | 02/13/2024 |
Certification Date | 02/13/2024 |
Medicare PECOS PAC ID | 8224475025 |
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Medicare Enrollment ID | O20240327003819 |
Identifier | Type | State | Issuer |
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1396509022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Kate A Keelty |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1922207646 PECOS PAC ID: 9133566938 Enrollment ID: I20240327003840 |
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