| Patricia Brouwer, LCDP; LMHC | |
|
1516 Atwood Ave, Johnston, RI 02919-3223 | |
| (401) 553-1000 | |
| (401) 553-1143 |
| Full Name | Patricia Brouwer |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1516 Atwood Ave, Johnston, 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 |
|---|---|---|---|
| 1841573698 | NPI | - | NPPES |
| GH57134 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MHC00714 (Rhode Island) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDP00338 (Rhode Island) | Secondary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Brouwer, LCDP; LMHC 1516 Atwood Ave, Johnston, RI 02919-3223 Ph: (401) 553-1000 | Patricia Brouwer, LCDP; LMHC 1516 Atwood Ave, Johnston, RI 02919-3223 Ph: (401) 553-1000 |
Michele Wilson, BACHELORS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1516 Atwood Ave, Johnston, RI 02919 Phone: 401-724-8400 Fax: 401-722-5280 | |
Laurie Thornton, MA, CAGS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1443 Hartford Ave, Johnston, RI 02919 Phone: 401-273-8100 Fax: 401-861-8696 | |
Alexia Sanford, MA, LMHC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1524 Atwood Ave Ste 115, Johnston, RI 02919 Phone: 401-773-3700 | |
Mrs. Rana M Dequattro, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Mulberry Cir, Johnston, RI 02919 Phone: 401-465-5144 Fax: 401-349-0494 | |
Courtney Hills, Counselor Medicare: Medicare Enrolled Practice Location: 8 Cady St, Johnston, RI 02919 Phone: 603-285-3163 | |
Britni J Butti, LCDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 985 Plainfield St, Johnston, RI 02919 Phone: 401-946-0650 Fax: 401-946-2407 | |
Mckayla Arbige, MASTERS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1443 Hartford Ave, Johnston, RI 02919 Phone: 401-553-1000 Fax: 401-553-1043 |