MEDICARE: ACTION ALLY INC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1306796511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACTION ALLY INC

Provider Business Mailing Address
First Line	:	1130 TEN ROD RD
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-4161
Country	:	US
Telephone Number	:	401-446-2350
Fax Number	:	855-337-8090

Provider Business Practice Location Address
First Line	:	1130 TEN ROD RD STE C104
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-4127
Country	:	US
Telephone Number	:	401-446-2350
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	OLGA GOREA
Credential	:	PMHNP-BC
Telephone Number	:	401-446-2350

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	02/03/2026

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Directions to “ACTION ALLY INC ” Practice Location

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