| Riverside Counseling Center Llc | |
|
205 Bullocks Point Ave Suite 205 B Riverside RI 02915-5336 | |
| (401) 270-7379 | |
| (401) 270-1824 |
| Full Name | Riverside Counseling Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 205 Bullocks Point Ave, Riverside, Rhode Island |
| Authorized Official Name and Position | Patricia A Arel (CEO/OWNER) |
| Authorized Official Contact | 4012707379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Counseling Center Llc 205 Bullocks Point Ave Suite 205 B Riverside RI 02915-5336 Ph: (401) 270-7379 | Riverside Counseling Center Llc 205 Bullocks Point Ave Suite 205 B Riverside RI 02915-5336 Ph: (401) 270-7379 |
| NPI Number | 1629471446 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 10/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629471446 | NPI | - | NPPES |
| PA32211 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDP00290 (Rhode Island) | Secondary |
| 101YM0800X | Counselor - Mental Health | MHC00181 (Rhode Island) | Primary |
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