| Home Port Therapy | |
|
23 North Rd Ste A25 Peace Dale RI 02879-2176 | |
| (401) 932-1181 | |
| (401) 783-1154 |
| Full Name | Home Port Therapy |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 23 North Rd Ste A25, Peace Dale, Rhode Island |
| Authorized Official Name and Position | Reynard Bullock (OWNER) |
| Authorized Official Contact | 4019321181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Port Therapy 23 North Rd Ste A25 Peace Dale RI 02879-2176 Ph: () - | Home Port Therapy 23 North Rd Ste A25 Peace Dale RI 02879-2176 Ph: (401) 932-1181 |
| NPI Number | 1740460872 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 11/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740460872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MFT00100 (Rhode Island) | Primary |
Cultivating Minds Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 North Rd Ste A24, Peace Dale, RI 02879 Phone: 401-360-6204 | |
South County Child & Family Consultants Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1058 Kingstown Rd, Peace Dale, RI 02879 Phone: 401-789-1553 Fax: 401-782-1313 |