| Ms Shannon M Pine, LMHC | |
|
E Admiralty Drive, 2, Middletown, RI 02842 | |
| (401) 218-9456 | |
| Not Available |
| Full Name | Ms Shannon M Pine |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | E Admiralty Drive, Middletown, 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 |
|---|---|---|---|
| 1427671478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MHC01151 (Rhode Island) | Primary |
| Entity Name | Rhode Island Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861420333 PECOS PAC ID: 8921900044 Enrollment ID: O20040121000169 |
| Entity Name | Gateway Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821078932 PECOS PAC ID: 7719874908 Enrollment ID: O20040302001066 |
| Entity Name | Emma Pendleton Bradley Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578768867 PECOS PAC ID: 3870527526 Enrollment ID: O20050921001082 |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shannon M Pine, LMHC E Admiralty Drive, 2, Middletown, RI 02842 Ph: (401) 218-9456 | Ms Shannon M Pine, LMHC E Admiralty Drive, 2, Middletown, RI 02842 Ph: (401) 218-9456 |
Ms. Margaret Elizabeth Koch, MRC, LMHC, CAGS Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 John Clarke Rd, Middletown, RI 02842 Phone: 401-848-4184 Fax: 401-848-2336 | |
Alison Turner, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 42 Valley Rd, Middletown, RI 02842 Phone: 401-846-1213 | |
Mrs. Antonette Lyn Marshall, L.C.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Valley Rd, Middletown, RI 02842 Phone: 401-848-6363 | |
Michael Infante, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 42 Valley Rd Ste 3c, Middletown, RI 02842 Phone: 401-842-0089 | |
Mrs. Kristin Elizabeth Martin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 575 E Main Rd, Middletown, RI 02842 Phone: 401-924-3924 Fax: 401-619-7766 | |
Seav Mey Y, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 127 Johnny Cake Hill Rd, Middletown, RI 02842 Phone: 401-843-1213 | |
Kathleen Marie Losoya, Counselor Medicare: Not Enrolled in Medicare Practice Location: 42 Valley Rd, Middletown, RI 02842 Phone: 401-846-1213 |