Home Port Therapy in Peace Dale - Adult Mental Health
Home Port Therapy - NPI 1740460872
Home Port Therapy is a Adult Mental Health in Peace Dale, Rhode Island. Home Port Therapy practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Home Port Therapy is 1740460872. The last update date is 2007-11-06.
Home Port Therapy's current location address is 23 North Rd Ste A25, Peace Dale, Rhode Island. You can contact this provider via phone number 4019321181 and fax number 4017831154. The mailing address for Home Port Therapy is 23 North Rd Ste A25, Peace Dale, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Home Port Therapy |
|---|---|
| Address | 23 North Rd Ste A25, Peace Dale, Rhode Island |
| Phone Number | 4019321181 |
| Fax Number | 4017831154 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bullock Reynard |
| Credentials | MS LMFT |
| Telephone Number | 4019321181 |
NPI Number Detail
| NPI Number | 1740460872 |
|---|---|
| Provider Enumeration Date | 2007-11-06 |
| Last Updated Date | 2007-11-06 |
Provider Mailing Address Detail
| Address | 23 North Rd Ste A25 |
|---|---|
| City | Peace Dale |
| State | Rhode Island (RI) |
| Post Code | 28792176 |
| Phone Number | 4019321181 |
| Fax Number | 4017831154 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
| Licence No | MFT00100 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
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Post Comment/ Review Below
What is the Home Port Therapy's 1740460872?
The Home Port Therapy's NPI (National Provider Identifier) Number is 1740460872. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Home Port Therapy is physically located?
The Home Port Therapy is situated at the following address: 23 North Rd Ste A25, Peace Dale, RI 28792176.
What is Home Port Therapy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Home Port Therapy is Adult Mental Health, and the taxonomy code that categorizes this field of expertise is 261Qm0850X.
When was the Home Port Therapy's 1740460872 issued?
The Home Port Therapy's 1740460872 was issued on 2007-11-06.
As of what date was the information pertaining to Home Port Therapy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Home Port Therapy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-06.
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