| Mental Health Consultant Service | |
|
400 Reservoir Ave Ste 2g Providence RI 02907-3594 | |
| (401) 632-4470 | |
| (401) 632-4470 |
| Full Name | Mental Health Consultant Service |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Reservoir Ave Ste 2g, Providence, Rhode Island |
| Authorized Official Name and Position | Cristiana Morena Ritwik (OWNER) |
| Authorized Official Contact | 4016324470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Consultant Service 400 Reservoir Ave Ste 2g Providence RI 02907-3594 Ph: (401) 632-4470 | Mental Health Consultant Service 400 Reservoir Ave Ste 2g Providence RI 02907-3594 Ph: (401) 632-4470 |
| NPI Number | 1104332725 |
|---|---|
| Provider Enumeration Date | 12/19/2017 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Medicare PECOS PAC ID | 5597027144 |
|---|---|
| Medicare Enrollment ID | O20180320002535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104332725 | NPI | - | NPPES |
| Provider Name | Cristiana Ritwik |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1932199858 PECOS PAC ID: 0648222448 Enrollment ID: I20050228000097 |
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