|
| |
|
830 Chalkstone Avenue Providence RI 02098-4799 | |
| (401) 273-7100 | |
| (401) 457-3354 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 830 Chalkstone Avenue, Providence, Rhode Island |
| Authorized Official Name and Position | Allan D. Erickson (CHIEF STAFF) |
| Authorized Official Contact | 4012737100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
830 Chalkstone Avenue Providence RI 02098-4799 Ph: (401) 273-7100 | 830 Chalkstone Avenue Providence RI 02098-4799 Ph: (401) 273-7100 |
| NPI Number | 1114940681 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114940681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 18598 (Rhode Island) | Primary |
One Step At A Time Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Kinfield St, Providence, RI 02909 Phone: 401-871-2379 | |
Aba Centers Of Rhode Island Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 Georgia Ave Ste 110, Providence, RI 02905 Phone: 844-982-4222 | |
Because I Matter Wellness Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Wayland Ave, Suite 4b, Providence, RI 02906 Phone: 401-431-2953 | |
Providence Behavioral Health Associates Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1075 Smith St, Providence, RI 02908 Phone: 401-369-9224 Fax: 401-369-9275 | |
The Wellness Center Ri, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Reservoir Ave, Suite 2k, Providence, RI 02907 Phone: 401-461-9355 Fax: 401-784-9609 |