| Therapeutic Services Of New England, Llc | |
|
43 Noxon St West Warwick RI 02893-3054 | |
| (401) 206-0878 | |
| Not Available |
| Full Name | Therapeutic Services Of New England, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 43 Noxon St, West Warwick, Rhode Island |
| Authorized Official Name and Position | Tania Katherina Patrizio (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 4012060878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Services Of New England, Llc Po Box 100295 Cranston RI 02910-0064 Ph: () - | Therapeutic Services Of New England, Llc 43 Noxon St West Warwick RI 02893-3054 Ph: (401) 206-0878 |
| NPI Number | 1467166777 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Medicare PECOS PAC ID | 8729451653 |
|---|---|
| Medicare Enrollment ID | O20230223002705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467166777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tania Katherina Patrizio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710151824 PECOS PAC ID: 5698019925 Enrollment ID: I20181127003173 |
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