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NPI Code Detail

MEDICARE: ANN ACHILLE LMHC

MEDICARE: ANN ACHILLE LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMHC00573RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1410282OTHERRIBLUE CHIP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
362-34648OTHERRIUNITED BEHAVIORAL HEALTH
41750326898OTHERRINPI #
51104847946OTHERRITHE PROVIDENCE CENTER NPI
623770OTHERRIBLUE CROSS

General Provider Information

NPI Number : 1750326898
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN ACHILLE LMHC
Provider Business Mailing Address
First Line : 528 N MAIN ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02904-5757
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 520 HOPE ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02906-2532
Country : US
Telephone Number : 401-276-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 01/05/2015

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Directions to “ ANN ACHILLE LMHC” Practice Location

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