South Shore Center Inc in Charlestown - Group Psychotherapy

South Shore Center Inc - NPI 1255327391

South Shore Center Inc is a Group Psychotherapy in Charlestown, Rhode Island. South Shore Center Inc practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for South Shore Center Inc is 1255327391. The last update date is 2013-01-24.

South Shore Center Inc's current location address is Po Box 899, Charlestown, Rhode Island. You can contact this provider via phone number 4013647705 and fax number 4013649104. The mailing address for South Shore Center Inc is Po Box 899, Charlestown, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Organization South Shore Center Inc
Address Po Box 899, Charlestown, Rhode Island
Phone Number 4013647705
Fax Number 4013649104
Sole Proprietor --
Credentials --

Authorized Official

Title or Position COO
Authorized Official Name Yeamen A Dorothy
Credentials MPA
Telephone Number 4013647705

NPI Number Detail

NPI Number 1255327391
Provider Enumeration Date 2005-09-23
Last Updated Date 2013-01-24

Provider Mailing Address Detail

Address Po Box 899
City Charlestown
State Rhode Island (RI)
Post Code 28130899
Phone Number 4013647705
Fax Number 4013649104

Provider's Primary Taxonomy Detail

Speciality Group Psychotherapy
Taxonomy 103Tp2701X
Definition:
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
25450 RI BLUE CROSS GROUP ID
9001875 RI --
SS02237 RI --
201774 RI BLUE CHIP GROUP ID

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FAQs about South Shore Center Inc

What is the unique 10-digit identification code issued to South Shore Center Inc by the Centers for Medicare & Medicaid Services?

The South Shore Center Inc has been assigned the NPI (National Provider Identifier) 1255327391 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of South Shore Center Inc?

The South Shore Center Inc is situated at Po Box 899, in the city of Charlestown, state of RI, with the zip code 28130899.

What is South Shore Center Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for South Shore Center Inc is Group Psychotherapy, and the taxonomy code that classifies this field of practice is 103Tp2701X.

On what date was the 1255327391 assigned to South Shore Center Inc?

The South Shore Center Inc was issued its 1255327391 on 2005-09-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding South Shore Center Inc most recently updated?

The details pertaining to the South Shore Center Inc, including its address, specialty, and other relevant information, were last refreshed on 2013-01-24.

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