SOUTH COUNTY WELLNESS GROUP LLC NPI 1861555690

NPI Information

  • NPI: 1861555690
  • Provider Name: SOUTH COUNTY WELLNESS GROUP, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 1130 TEN ROD RD
    SUITE E302
    NORTH KINGSTOWN, RI
    ZIP 02852
  • Phone: (401) 667-7079

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NPI Details

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthPPNS00010RHODE ISLANDNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthPPNS00047RHODE ISLANDYes

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
11043260268OTHERRHODE ISLANDNPI
21962597336OTHERRHODE ISLANDNPI

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: 11/21/2025

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