| Psychological Wellness Center | |
|
625 Main Rd Tiverton RI 02878-1351 | |
| (401) 816-5800 | |
| (401) 816-5802 |
| Full Name | Psychological Wellness Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 625 Main Rd, Tiverton, Rhode Island |
| Authorized Official Name and Position | Nancy Lynn Kubic (LICSW) |
| Authorized Official Contact | 4018165800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Wellness Center 625 Main Rd Tiverton RI 02878-1351 Ph: (401) 816-5800 | Psychological Wellness Center 625 Main Rd Tiverton RI 02878-1351 Ph: (401) 816-5800 |
| NPI Number | 1902054323 |
|---|---|
| Provider Enumeration Date | 08/28/2008 |
| Last Update Date | 08/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902054323 | NPI | - | NPPES |
| 1082610 | Other | MA | BEACON HEALTH STRATEGIES |
| 294863 | Other | RI | RHODE ISLAND BLUE CROSS & BLUE SHIELD |
| 7651763 | Other | TX | AETNA |
| NK68179 | Other | RI | RHODE ISLAND MEDICAL ASSISTANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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