| Elizabeth L Gomes, LMHC | |
|
765 Allens Ave, Suite 102, Providence, RI 02905-5443 | |
| (401) 490-8900 | |
| (401) 490-2619 |
| Full Name | Elizabeth L Gomes |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 765 Allens Ave, Providence, 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 |
|---|---|---|---|
| 1417125717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6403 (Massachusetts) | Primary |
| Entity Name | Optimal Health A Mind And Body Wellness Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174006597 PECOS PAC ID: 6103350681 Enrollment ID: O20241106001234 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth L Gomes, LMHC 58 Lincoln Ave, Fall River, MA 02720-2622 Ph: (508) 567-0560 | Elizabeth L Gomes, LMHC 765 Allens Ave, Suite 102, Providence, RI 02905-5443 Ph: (401) 490-8900 |
Olivia Meunier, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-274-2500 | |
Mr. Brian P Shea, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Park Row W, #426, Providence, RI 02903 Phone: 617-455-2788 | |
Alisha Choquette, AA, ACDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Burnett St, Providence, RI 02907 Phone: 401-785-0050 Fax: 401-941-0089 | |
Betsy Riccio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 River Ave, Providence, RI 02908 Phone: 401-465-1955 | |
Miss Ashley L Addison, BA, LCDP, CCSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4100 | |
Jennifer Ortiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110 | |
Shane Lima, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110 |