| South County Therapy Llc | |
|
23 North Rd Suite A-24 Wakefield RI 02879-8132 | |
| (401) 829-6164 | |
| Not Available |
| Full Name | South County Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 23 North Rd, Wakefield, Rhode Island |
| Authorized Official Name and Position | Cynthia Lewis (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4018296164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South County Therapy Llc Po Box 5707 Wakefield RI 02880-5707 Ph: (401) 829-6164 | South County Therapy Llc 23 North Rd Suite A-24 Wakefield RI 02879-8132 Ph: (401) 829-6164 |
| NPI Number | 1730625260 |
|---|---|
| Provider Enumeration Date | 01/08/2017 |
| Last Update Date | 01/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730625260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW00655 (Rhode Island) | Primary |
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