Children In Balance Psychological Associates Llc | |
575 E Main Rd 4 Middletown RI 02842-5528 | |
(508) 962-7364 | |
(401) 619-7766 |
Full Name | Children In Balance Psychological Associates Llc |
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Speciality | Counselor - Mental Health |
Location | 575 E Main Rd, Middletown, Rhode Island |
Authorized Official Name and Position | Tiffany Bourquin (CEO/EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5089627364 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Children In Balance Psychological Associates Llc P.o. Box 577 Somerset MA 02726 Ph: (508) 962-7364 | Children In Balance Psychological Associates Llc 575 E Main Rd 4 Middletown RI 02842-5528 Ph: (508) 962-7364 |
NPI Number | 1952651895 |
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Provider Enumeration Date | 09/19/2012 |
Last Update Date | 04/26/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952651895 | NPI | - | NPPES |
1669631487 | Other | INDIVIDUAL NPI 1669631487 | |
BH90286 | Medicaid | RI |
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