| Island Light Psychotherapy, Llc | |
|
11 King Charles Dr Ste A Portsmouth RI 02871-1364 | |
| (306) 070-3153 | |
| Not Available |
| Full Name | Island Light Psychotherapy, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11 King Charles Dr Ste A, Portsmouth, Rhode Island |
| Authorized Official Name and Position | Emily Allerton (OWNER) |
| Authorized Official Contact | 3306070315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Light Psychotherapy, Llc 11 King Charles Dr Ste A Portsmouth RI 02871-1364 Ph: () - | Island Light Psychotherapy, Llc 11 King Charles Dr Ste A Portsmouth RI 02871-1364 Ph: (306) 070-3153 |
| NPI Number | 1508488305 |
|---|---|
| Provider Enumeration Date | 05/14/2020 |
| Last Update Date | 05/21/2020 |
| Certification Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508488305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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