Home Port Therapy
Clinic/Center, Adult Mental Health in Peace Dale, Rhode Island
1740460872- Practice location
- 23 North RD Ste A25, Peace Dale, RI 02879-2176
- Phone
- 401-932-1181
- Fax
- 401-783-1154
- Last updated
- November 6, 2007
Home Port Therapy is a healthcare organization based in Peace Dale, RI. Home Port Therapy practices in Peace Dale, RI. The NPI Number for Home Port Therapy is 1740460872 and holds a License No. mft00100 (RI). The current practice location address for Home Port Therapy is 23 North RD Ste A25, Peace Dale, RI 02879-2176 and can be reached out via phone at 401-932-1181 and via fax at 401-783-1154.
Provider Profile Details
- NPI Number
- 1740460872
- Provider Name
- Home Port Therapy
- Provider Entity Type
- Organization
- Address
- 23 North RD Ste A25, Peace Dale, RI 02879-2176
- Phone Number
- 401-932-1181
- Fax Number
- 401-783-1154
- Primary Taxonomy
- Clinic/Center, Adult Mental Health · 261QM0850X
- Organization Subpart
- No
- Authorized Official
- Mr. Reynard Bullock, MS LMFT · Owner · 401-932-1181
- Provider Enumeration Date
- November 6, 2007
- Last Update Date
- November 6, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 23 North RD Ste A25
Peace Dale, RI 02879-2176 - City
- Peace Dale
- State
- Rhode Island
- Zip
- 02879-2176
- Phone Number
- 401-932-1181
- Fax Number
- 401-783-1154
Provider Business Mailing Address Details
- Address
- 23 North RD Ste A25
Peace Dale, RI 02879-2176 - City
- Peace Dale
- State
- RI
- Zip
- 02879-2176
License Information
- License Number
- mft00100
- License State
- RI
- Taxonomy
- Clinic/Center, Adult Mental Health · 261QM0850X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Adult Mental Health providers near Peace Dale, RI
View all Clinic/Center, Adult Mental Health providers in Peace Dale →- Lindsey Crowninshield, LMHC, LCDPCounselor, Mental Health · NPI 1124586508
- Ms. Samantha R Crowley, MA, LMHCA, LCDP, CADCCounselor, Mental Health · NPI 1255963765
- Colleen Carpender, LCDPCounselor, Addiction (Substance Use Disorder) · NPI 1982297669
- Cara BermanCounselor, Mental Health · NPI 1912631987
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Frequently Asked Questions
What is the NPI number of Home Port Therapy?
The NPI number of Home Port Therapy is 1740460872. It was assigned on November 6, 2007 and is currently active in the NPPES registry.
What is the specialty of Home Port Therapy?
Home Port Therapy is registered under the primary taxonomy Clinic/Center, Adult Mental Health (code 261QM0850X), licensed in RI under license number mft00100.
Where does Home Port Therapy practice?
The practice location is 23 North RD Ste A25, Peace Dale, RI 02879-2176. The office can be reached at 401-932-1181 (phone) or 401-783-1154 (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 1740460872 directly on the NPPES registry website.