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NPI Code Detail

MEDICARE: NETTLE AND ASH

MEDICARE: NETTLE AND ASH
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
1101YM0800XMental Health Counselor
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1528845864
Entity Type Code : Organization
Provider Name (Legal Business Name) : NETTLE AND ASH
Provider Business Mailing Address
First Line : 156 TAUNTON AVE UNIT 324
Second Line :
City : SEEKONK
State : MA
Zip : 02771-7712
Country : US
Telephone Number : 401-680-0616
Fax Number :
Provider Business Practice Location Address
First Line : 171 CHESTNUT ST STE 200
Second Line :
City : PROVIDENCE
State : RI
Zip : 02903-4604
Country : US
Telephone Number : 401-680-0616
Fax Number :
Authorized Official
Title or Position : AUTHORIZED USER
Name : JENNIFER POHLE
Credential :
Telephone Number : 401-680-0616
Provider Enumeration Date : 09/11/2023
Last Update Date : 12/16/2025

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Directions to “NETTLE AND ASH ” Practice Location

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