| Compass Therapy Llc | |
|
169 Briarwood Dr Wakefield RI 02879-2834 | |
| (401) 515-5802 | |
| Not Available |
| Full Name | Compass Therapy Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 169 Briarwood Dr, Wakefield, Rhode Island |
| Authorized Official Name and Position | Holly Fuscaldo (CLINICIAN) |
| Authorized Official Contact | 4015155802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Therapy Llc 169 Briarwood Dr Wakefield RI 02879-2834 Ph: (401) 515-5802 | Compass Therapy Llc 169 Briarwood Dr Wakefield RI 02879-2834 Ph: (401) 515-5802 |
| NPI Number | 1902686728 |
|---|---|
| Provider Enumeration Date | 09/29/2023 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Medicare PECOS PAC ID | 9032568787 |
|---|---|
| Medicare Enrollment ID | O20231207000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902686728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Holly B. Fuscaldo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639786619 PECOS PAC ID: 3678970472 Enrollment ID: I20210921003236 |
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