Healthcare Provider Details

I. General information

NPI: 1699521294
Provider Name (Legal Business Name): HANNAH REID
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2024
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2756 POST RD
WARWICK RI
02886-3077
US

IV. Provider business mailing address

125 MILE RD
COVENTRY RI
02816-5144
US

V. Phone/Fax

Practice location:
  • Phone: 401-340-1987
  • Fax:
Mailing address:
  • Phone: 401-644-2386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC01983
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: