Healthcare Provider Details

I. General information

NPI: 1194877621
Provider Name (Legal Business Name): DELTA CONSULTANTS OF SOUTH COUNTY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 SALT POND ROAD SUITE D4 SOUTH KINGSTOWN OFFICE PARK
WAKEFIELD RI
02879
US

IV. Provider business mailing address

24 SALT POND ROAD SUITE D4 SOUTH KINGSTOWN OFFICE PARK
WAKEFIELD RI
02879
US

V. Phone/Fax

Practice location:
  • Phone: 401-789-3694
  • Fax: 401-789-3748
Mailing address:
  • Phone: 401-789-3694
  • Fax: 401-789-3748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: THOMAS JOSEPH COMISKEY
Title or Position: PRESIDENT
Credential: PHD
Phone: 401-789-3694