| Island Counseling Services, Llc | |
|
575 E Main Rd Unit 3a Middletown RI 02842-5288 | |
| (401) 344-9027 | |
| Not Available |
| Full Name | Island Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 575 E Main Rd Unit 3a, Middletown, Rhode Island |
| Authorized Official Name and Position | Kate Keelty (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 4013449027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Counseling Services, Llc 444 Water St Portsmouth RI 02871-4227 Ph: (401) 225-7586 | Island Counseling Services, Llc 575 E Main Rd Unit 3a Middletown RI 02842-5288 Ph: (401) 344-9027 |
| NPI Number | 1396509022 |
|---|---|
| Provider Enumeration Date | 02/13/2024 |
| Last Update Date | 02/13/2024 |
| Certification Date | 02/13/2024 |
| Medicare PECOS PAC ID | 8224475025 |
|---|---|
| Medicare Enrollment ID | O20240327003819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396509022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kate A Keelty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922207646 PECOS PAC ID: 9133566938 Enrollment ID: I20240327003840 |
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