| Teesha Behavioral Services Llc | |
|
321 Lowell Ave Providence RI 02909-5228 | |
| (770) 718-4490 | |
| Not Available |
| Full Name | Teesha Behavioral Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 321 Lowell Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Lateesha Rainey (OWNER) |
| Authorized Official Contact | 7704482092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teesha Behavioral Services Llc 321 Lowell Ave Providence RI 02909-5228 Ph: () - | Teesha Behavioral Services Llc 321 Lowell Ave Providence RI 02909-5228 Ph: (770) 718-4490 |
| NPI Number | 1407698194 |
|---|---|
| Provider Enumeration Date | 06/12/2024 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407698194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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