SOUTH COUNTY WELLNESS GROUP LLC NPI 1861555690

NPI Information

NPI: 1861555690
Provider Name: SOUTH COUNTY WELLNESS GROUP, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1130 TEN ROD RD
SUITE E302
NORTH KINGSTOWN, RI
ZIP 02852
Phone: (401) 667-7079
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SOUTH COUNTY WELLNESS GROUP, LLC is a psychiatric/mental health nurse practitioner in North Kingstown, RI. SOUTH COUNTY WELLNESS GROUP, LLC NPI is 1861555690. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1130 TEN ROD RD
SUITE E302
NORTH KINGSTOWN, RI
ZIP 02852-161
Phone: (401) 667-7079

The provider's authorized official is Cathy L Kennedy .
The authorized official title is Prescriptive Clinical Nurse Special and has the following contact phone number (401) 667-7079.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	PPNS00010	RHODE ISLAND	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	PPNS00047	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1043260268	OTHER	RHODE ISLAND	NPI
2	1962597336	OTHER	RHODE ISLAND	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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