MEDICARE: LORRAINE HESSION LMHC

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	101YM0800X	Mental Health Counselor	MHC00218	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	412014	OTHER		BLUECHIP
2	29049-0	OTHER		BC/BS OF RI

General Provider Information

NPI Number	:	1508817180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORRAINE HESSION LMHC

Provider Business Mailing Address
First Line	:	5 BELOIT ST
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02908-1216
Country	:	US
Telephone Number	:	401-272-4407
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 COLLEGE HILL RD
Second Line	:	SUITE 30E
City	:	WARWICK
State	:	RI
Zip	:	02886-2776
Country	:	US
Telephone Number	:	401-821-6070
Fax Number	:	401-821-6047

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	07/08/2007

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Directions to “ LORRAINE HESSION LMHC” Practice Location

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