| South County Child & Family Consultants | |
|
1058 Kingstown Rd Peace Dale RI 02879-2487 | |
| (401) 789-1553 | |
| (401) 782-1313 |
| Full Name | South County Child & Family Consultants |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1058 Kingstown Rd, Peace Dale, Rhode Island |
| Authorized Official Name and Position | I. Randy Kulman (PRESIDENT) |
| Authorized Official Contact | 4017891553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South County Child & Family Consultants 1058 Kingstown Rd Peace Dale RI 02879-2487 Ph: (401) 789-1553 | South County Child & Family Consultants 1058 Kingstown Rd Peace Dale RI 02879-2487 Ph: (401) 789-1553 |
| NPI Number | 1467515957 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467515957 | NPI | - | NPPES |
| RK02108 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS00313 (Rhode Island) | Primary |
Cultivating Minds Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 North Rd Ste A24, Peace Dale, RI 02879 Phone: 401-360-6204 | |
Home Port Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 North Rd Ste A25, Peace Dale, RI 02879 Phone: 401-932-1181 Fax: 401-783-1154 |