Healthcare Provider Details

I. General information

NPI: 1598898272
Provider Name (Legal Business Name): GATEWAY RESOURCES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 KAY ST
NEWPORT RI
02840-2835
US

IV. Provider business mailing address

103 KAY ST
NEWPORT RI
02840-2835
US

V. Phone/Fax

Practice location:
  • Phone: 401-846-1988
  • Fax: 401-847-5153
Mailing address:
  • Phone: 401-846-1988
  • Fax: 401-847-5153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License NumberL.M.H.C. #25
License Number StateRI

VIII. Authorized Official

Name: DR. LINDA C. STRAHAN
Title or Position: DIRECTOR
Credential: L.M.H.C.
Phone: 401-846-1988