Koann Therapeutic Services INC
Nurse Practitioner, Psych/Mental Health in Providence, Rhode Island
1639843303- Practice location
- 845 N Main St, Providence, RI 02904-5700
- Phone
- 401-648-7172
- Fax
- 401-648-0161
- Last updated
- January 12, 2026
Koann Therapeutic Services INC is a healthcare organization based in Providence, RI. Koann Therapeutic Services INC practices in Providence, RI. The NPI Number for Koann Therapeutic Services INC is 1639843303. The current practice location address for Koann Therapeutic Services INC is 845 N Main St, Providence, RI 02904-5700 and can be reached out via phone at 401-648-7172 and via fax at 401-648-0161.
Provider Profile Details
- NPI Number
- 1639843303
- Provider Name
- Koann Therapeutic Services INC
- Provider Entity Type
- Organization
- Address
- 845 N Main St, Providence, RI 02904-5700
- Phone Number
- 401-648-7172
- Fax Number
- 401-648-0161
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Akos Antwi · Provider/Ceo · 401-648-7172
- Other Names
- Revive Therapeutic Services (Doing Business As)
- Provider Enumeration Date
- August 5, 2021
- Last Update Date
- January 12, 2026
- Certification Date
- January 12, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 845 N Main St
Providence, RI 02904-5700 - City
- Providence
- State
- Rhode Island
- Zip
- 02904-5700
- Phone Number
- 401-648-7172
- Fax Number
- 401-648-0161
Provider Business Mailing Address Details
- Address
- Po Box 3085
Pawtucket, RI 02861-0585 - City
- Pawtucket
- State
- RI
- Zip
- 02861-0585
License Information
- Taxonomy (1)
- Clinic/Center, Multi-Specialty · 261QM1300X
- Taxonomy (2)
- Registered Nurse, Psych/Mental Health, Child & Adolescent · 163WP0807X
- Taxonomy (3)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Taxonomy (4)
- Registered Nurse · 163W00000X
- Taxonomy (5)
- Case Management · 251B00000X
- Taxonomy (6)
- Registered Nurse, Psych/Mental Health, Adult · 163WP0809X
- Taxonomy (7)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Psych/Mental Health providers near Providence, RI
View all Nurse Practitioner, Psych/Mental Health providers in Providence →- Akos Antwi, APRN, PMHNPNurse Practitioner, Psych/Mental Health · NPI 1760966436
- Claribel Cruz, PMHNP-BCNurse Practitioner, Psych/Mental Health · NPI 1497628929
- Evans A Duah, PMHNPNurse Practitioner, Psych/Mental Health · NPI 1235951153
- Lauren E Houle, PMHNPNurse Practitioner, Psych/Mental Health · NPI 1083194377
- Megan M Ferriera, APRNNurse Practitioner, Psych/Mental Health · NPI 1912714247
- Nnemeka A Okpala, PMHNPNurse Practitioner, Psych/Mental Health · NPI 1003373754
Frequently Asked Questions
What is the NPI number of Koann Therapeutic Services INC?
The NPI number of Koann Therapeutic Services INC is 1639843303. It was assigned on August 5, 2021 and is currently active in the NPPES registry.
What is the specialty of Koann Therapeutic Services INC?
Koann Therapeutic Services INC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Koann Therapeutic Services INC practice?
The practice location is 845 N Main St, Providence, RI 02904-5700. The office can be reached at 401-648-7172 (phone) or 401-648-0161 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639843303 directly on the NPPES registry website.