Healthcare Provider Details

I. General information

NPI: 1417108523
Provider Name (Legal Business Name): SCOTT D. BESSETTE LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2008
Last Update Date: 10/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 BALD HILL RD SUITE 530
WARWICK RI
02886-1617
US

IV. Provider business mailing address

400 BALD HILL RD SUITE 530
WARWICK RI
02886-1617
US

V. Phone/Fax

Practice location:
  • Phone: 401-349-3131
  • Fax: 401-921-5109
Mailing address:
  • Phone: 401-349-3131
  • Fax: 401-921-5109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC00376
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: