Ocean State Therapy And Wellness. Llc | |
130 Tower Hill Rd North Kingstown RI 02852-4804 | |
(401) 268-3886 | |
(401) 268-3887 |
Full Name | Ocean State Therapy And Wellness. Llc |
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Speciality | Social Worker |
Location | 130 Tower Hill Rd, North Kingstown, Rhode Island |
Authorized Official Name and Position | Kelley Finch (PRESIDENT) |
Authorized Official Contact | 4013742955 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ocean State Therapy And Wellness. Llc 235 Old Flat River Rd Coventry RI 02816-5149 Ph: (401) 374-2955 | Ocean State Therapy And Wellness. Llc 130 Tower Hill Rd North Kingstown RI 02852-4804 Ph: (401) 268-3886 |
NPI Number | 1255802096 |
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Provider Enumeration Date | 12/05/2018 |
Last Update Date | 12/05/2018 |
Medicare PECOS PAC ID | 9133460678 |
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Medicare Enrollment ID | O20190409003128 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255802096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ISW01777 (Rhode Island) | Primary |
Provider Name | Kelley E Finch |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851458665 PECOS PAC ID: 0446349450 Enrollment ID: I20071128000637 |
Provider Name | Stephanie B Moniz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730362971 PECOS PAC ID: 6901982636 Enrollment ID: I20080320000694 |
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