| Sarah Ouellette Psychotherapy, Llc | |
|
173 Waterman St Providence RI 02906-3919 | |
| (401) 400-2499 | |
| (401) 642-7308 |
| Full Name | Sarah Ouellette Psychotherapy, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 173 Waterman St, Providence, Rhode Island |
| Authorized Official Name and Position | Sarah Elizabeth Ouellette (PROVIDER) |
| Authorized Official Contact | 4013687809 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Ouellette Psychotherapy, Llc 324 Newman Ave Rumford RI 02916-1251 Ph: (401) 368-7809 | Sarah Ouellette Psychotherapy, Llc 173 Waterman St Providence RI 02906-3919 Ph: (401) 400-2499 |
| NPI Number | 1164094017 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 07/12/2021 |
| Certification Date | 06/25/2021 |
| Medicare PECOS PAC ID | 8224430921 |
|---|---|
| Medicare Enrollment ID | O20210716000679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164094017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Sarah E Ouellette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225468267 PECOS PAC ID: 4385905819 Enrollment ID: I20180327002597 |
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