Active NPIIndividual provider

Kelly Levesque, LCDP

Counselor, Addiction (Substance Use Disorder) in Pawtucket, Rhode Island

NPI Number1679877906
Practice location
166 Pawtucket Ave, Pawtucket, RI 02860-3811
Fax
401-722-5039
Last updated
December 30, 2010

Kelly Levesque is a Counselor, Addiction (Substance Use Disorder) based in Pawtucket, RI. Kelly Levesque practices in Pawtucket, RI and has the professional credentials of LCDP. The NPI Number for Kelly Levesque is 1679877906 and holds a License No. CDP00429 (RI). The current practice location address for Kelly Levesque is 166 Pawtucket Ave, Pawtucket, RI 02860-3811 and can be reached out via phone at 401-722-4644 and via fax at 401-722-5039.

Provider Profile Details

NPI Number
1679877906
Provider Name
Kelly Levesque
Credential
LCDP
Provider Entity Type
Individual
Gender
Female
Address
166 Pawtucket Ave, Pawtucket, RI 02860-3811
Phone Number
401-722-4644
Fax Number
401-722-5039
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
December 30, 2010
Last Update Date
December 30, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
166 Pawtucket Ave
Pawtucket, RI 02860-3811
Zip
02860-3811
Phone Number
401-722-4644
Fax Number
401-722-5039
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
166 Pawtucket Ave
Pawtucket, RI 02860-3811
City
Pawtucket
State
RI
Zip
02860-3811
Phone Number
401-722-4644
Fax Number
401-722-5039

License Information

License Number
CDP00429
License State
RI
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly Levesque, LCDP?

The NPI number of Kelly Levesque, LCDP is 1679877906. It was assigned on December 30, 2010 and is currently active in the NPPES registry.

What is the specialty of Kelly Levesque, LCDP?

Kelly Levesque, LCDP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CDP00429.

Where does Kelly Levesque, LCDP practice?

The practice location is 166 Pawtucket Ave, Pawtucket, RI 02860-3811. The office can be reached at 401-722-4644 (phone) or 401-722-5039 (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 1679877906 directly on the NPPES registry website.

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