| Heal Ri Llc | |
|
310 Maple Ave Ste L06bandc Barrington RI 02806-3430 | |
| (401) 999-0609 | |
| Not Available |
| Full Name | Heal Ri Llc |
|---|---|
| Speciality | Social Worker |
| Location | 310 Maple Ave Ste L06bandc, Barrington, Rhode Island |
| Authorized Official Name and Position | Dana Freeman (LICSW) |
| Authorized Official Contact | 4019990609 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heal Ri Llc 142 Windward Ln Bristol RI 02809-1551 Ph: () - | Heal Ri Llc 310 Maple Ave Ste L06bandc Barrington RI 02806-3430 Ph: (401) 999-0609 |
| NPI Number | 1003692070 |
|---|---|
| Provider Enumeration Date | 09/06/2023 |
| Last Update Date | 09/06/2023 |
| Certification Date | 09/06/2023 |
| Medicare PECOS PAC ID | 3678922168 |
|---|---|
| Medicare Enrollment ID | O20231208002643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003692070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dana Michelle Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285157743 PECOS PAC ID: 5496104986 Enrollment ID: I20231208003154 |
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