| Blue Water Psychiatry, Llc | |
|
197 Warren Ave Ste 203 East Providence RI 02914-4826 | |
| (401) 285-6040 | |
| (401) 922-5407 |
| Full Name | Blue Water Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 197 Warren Ave Ste 203, East Providence, Rhode Island |
| Authorized Official Name and Position | Randy Freeman (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4012856040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Water Psychiatry, Llc 197 Warren Ave Ste 203 East Providence RI 02914-4826 Ph: (401) 285-6040 | Blue Water Psychiatry, Llc 197 Warren Ave Ste 203 East Providence RI 02914-4826 Ph: (401) 285-6040 |
| NPI Number | 1205709136 |
|---|---|
| Provider Enumeration Date | 09/26/2025 |
| Last Update Date | 09/26/2025 |
| Certification Date | 09/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205709136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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