Lizbeta Palmer Chisolm, - Counselor in Providence, RI

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Lizbeta Palmer Chisolm, is a Counselor - Mental Health based in Providence, Rhode Island. Lizbeta Palmer Chisolm is licensed to practice in Rhode Island (license number MHC01090) and her current practice location is 100 Medway St, Providence, Rhode Island. She can be reached at her office (for appointments etc.) via phone at (401) 421-4100.

NPI number for Lizbeta Palmer Chisolm is 1508396813 and her current mailing address is 100 Medway St, Providence, Rhode Island. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508396813.

Contact Information

Lizbeta Palmer Chisolm,
100 Medway St,
Providence, RI 02906-4402
(401) 421-4100
Not Available

Map and Direction




Provider's Profile

Full NameLizbeta Palmer Chisolm
GenderFemale
SpecialityCounselor - Mental Health
Location100 Medway St, Providence, Rhode Island
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508396813
  • Provider Enumeration Date: 06/19/2017
  • Last Update Date: 11/04/2019

Medical Identifiers

Medical identifiers for Lizbeta Palmer Chisolm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508396813NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN51488 (Rhode Island)Secondary
101YM0800XCounselor - Mental Health MHC01090 (Rhode Island)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lizbeta Palmer Chisolm is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lizbeta Palmer Chisolm,
100 Medway St,
Providence, RI 02906-4402

Ph: (401) 421-4100		Lizbeta Palmer Chisolm,
100 Medway St,
Providence, RI 02906-4402

Ph: (401) 421-4100

Reviews and Comments



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