| Elemental Health | |
|
1544 Frenchtown Rd East Greenwich RI 02818-1311 | |
| (401) 741-0853 | |
| Not Available |
| Full Name | Elemental Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1544 Frenchtown Rd, East Greenwich, Rhode Island |
| Authorized Official Name and Position | Catherine M Hanson (DIRECTOR) |
| Authorized Official Contact | 4017410853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elemental Health 1544 Frenchtown Rd East Greenwich RI 02818-1311 Ph: (401) 741-0853 | Elemental Health 1544 Frenchtown Rd East Greenwich RI 02818-1311 Ph: (401) 741-0853 |
| NPI Number | 1104219625 |
|---|---|
| Provider Enumeration Date | 03/08/2015 |
| Last Update Date | 03/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104219625 | NPI | - | NPPES |
| CK42287 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MHC00663 (Rhode Island) | Primary |
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