East Bay Counsling Center, Inc.. in Pawtucket - Psychiatry

East Bay Counsling Center, Inc.. - NPI 1811079502

East Bay Counsling Center, Inc.. is a Psychiatry in Pawtucket, Rhode Island. East Bay Counsling Center, Inc.. practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for East Bay Counsling Center, Inc.. is 1811079502. The last update date is 2010-09-23.

East Bay Counsling Center, Inc..'s current location address is 77 Beechwood Ave, Pawtucket, Rhode Island. You can contact this provider via phone number 4017283400 and fax number 4017243990. The mailing address for East Bay Counsling Center, Inc.. is 77 Beechwood Ave, Pawtucket, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Organization East Bay Counsling Center, Inc..
Address 77 Beechwood Ave, Pawtucket, Rhode Island
Phone Number 4017283400
Fax Number 4017243990
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Gavalya. Md Nelson Richard
Credentials M. D.
Telephone Number 4017283400

NPI Number Detail

NPI Number 1811079502
Provider Enumeration Date 2006-10-20
Last Updated Date 2010-09-23

Provider Mailing Address Detail

Address 77 Beechwood Ave
City Pawtucket
State Rhode Island (RI)
Post Code 28605409
Phone Number 4017283400
Fax Number 4017243990

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No RIMD4323
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30095-1 RI BCBS

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FAQs about East Bay Counsling Center, Inc..

What is the unique identifier code issued to East Bay Counsling Center, Inc.. by the Centers for Medicare & Medicaid Services (CMS)?

The East Bay Counsling Center, Inc.. has been assigned the NPI (National Provider Identifier) 1811079502. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the East Bay Counsling Center, Inc.. located?

The East Bay Counsling Center, Inc.. is located at 77 Beechwood Ave, Pawtucket, RI 28605409.

What is East Bay Counsling Center, Inc..'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for East Bay Counsling Center, Inc.. is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.

When was the East Bay Counsling Center, Inc..'s 1811079502 issued?

The East Bay Counsling Center, Inc..'s 1811079502 was issued on 2006-10-20.

As of what date were the East Bay Counsling Center, Inc..'s details last updated?

The information pertaining to the East Bay Counsling Center, Inc.., including its address, specialty, and other details, was most recently updated on 2010-09-23.

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