| Me Psychotherapy, Llc | |
|
194 Waterman St Providence RI 02906-4015 | |
| (401) 633-2929 | |
| (888) 602-6957 |
| Full Name | Me Psychotherapy, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 194 Waterman St, Providence, Rhode Island |
| Authorized Official Name and Position | Marisa Etting (PRESIDENT) |
| Authorized Official Contact | 4016332929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Me Psychotherapy, Llc 194 Waterman St Providence RI 02906-4015 Ph: (401) 633-2929 | Me Psychotherapy, Llc 194 Waterman St Providence RI 02906-4015 Ph: (401) 633-2929 |
| NPI Number | 1043502214 |
|---|---|
| Provider Enumeration Date | 05/06/2011 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4183075302 |
|---|---|
| Medicare Enrollment ID | O20240111002419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043502214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHC00342 (Rhode Island) | Primary |
| Provider Name | Kathleen Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417659962 PECOS PAC ID: 9830540053 Enrollment ID: I20240111002708 |
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