| Mrs Nompelelo Khumalo Boucher, LMHC | |
|
175 Nate Whipple Hwy Ste 202, Cumberland, RI 02864-1423 | |
| (401) 405-0700 | |
| Not Available |
| Full Name | Mrs Nompelelo Khumalo Boucher |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 175 Nate Whipple Hwy Ste 202, Cumberland, 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 |
|---|---|---|---|
| 1629128012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MHC00708 (Rhode Island) | Primary |
| 101YM0800X | Counselor - Mental Health | 9201 (Massachusetts) | Secondary |
| Entity Name | Cumberland Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396208435 PECOS PAC ID: 5395146690 Enrollment ID: O20210624000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nompelelo Khumalo Boucher, LMHC 9 Rustic Ln, Cumberland, RI 02864-1141 Ph: (617) 791-2645 | Mrs Nompelelo Khumalo Boucher, LMHC 175 Nate Whipple Hwy Ste 202, Cumberland, RI 02864-1423 Ph: (401) 405-0700 |
Liberty Kenyon, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Crossing Dr Apt 303, Cumberland, RI 02864 Phone: 401-935-7265 | |
Miss Cynthia Powell, LMHC, LCDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Ashton Pkwy, Suite 209, Cumberland, RI 02864 Phone: 401-439-7457 | |
Stasia Dompkowski Mann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Martin St, Cumberland, RI 02864 Phone: 401-692-9390 | |
Daniela Iavarone Duarte, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 655 Mendon Rd Ste 1c, Cumberland, RI 02864 Phone: 401-680-9900 | |
Miss Blythe C. Gould, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2145 Diamond Hill Rd, Suite A, Cumberland, RI 02864 Phone: 802-324-4233 | |
Suhaila Ibrahim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Nate Whipple Hwy Ste 202, Cumberland, RI 02864 Phone: 401-405-0700 | |
Mrs. Naydeen Raeone Kafalas, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2138 Mendon Rd, Suite 104, Cumberland, RI 02864 Phone: 401-580-8452 |