| Amy Creegan, LMFT | |
|
652 George Washington Hwy, Lincoln, RI 02865-4330 | |
| (401) 475-9979 | |
| (401) 475-9917 |
| Full Name | Amy Creegan |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 652 George Washington Hwy, Lincoln, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790074441 | NPI | - | NPPES |
| GH57134 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 00161 (Rhode Island) | Primary |
| Entity Name | Brightside Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255872206 PECOS PAC ID: 4981048501 Enrollment ID: O20240221004064 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Creegan, LMFT 652 George Washington Hwy, Lincoln, RI 02865-4330 Ph: (401) 475-9979 | Amy Creegan, LMFT 652 George Washington Hwy, Lincoln, RI 02865-4330 Ph: (401) 475-9979 |
Katherine Weber, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 652 George Washington Hwy, Suite 102, Lincoln, RI 02865 Phone: 401-475-9979 Fax: 401-475-9917 | |
Rebecca Nelson, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1525 Old Louisquisset Pike, B104, Lincoln, RI 02865 Phone: 401-721-5228 | |
Mr. Samuel Louis Ciotola Jr., MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 652 George Washington Hwy, Suite 102, Lincoln, RI 02865 Phone: 401-475-9979 Fax: 401-475-9917 |