Provider Demographics
NPI:1033616784
Name:CABLE CONSULTATION AND THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:CABLE CONSULTATION AND THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETSY
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGER CABLE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW, LCDP
Authorized Official - Phone:401-632-0739
Mailing Address - Street 1:3 PHILLIPS ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-2420
Mailing Address - Country:US
Mailing Address - Phone:401-632-0739
Mailing Address - Fax:401-831-0661
Practice Address - Street 1:3 PHILLIPS ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-2420
Practice Address - Country:US
Practice Address - Phone:401-632-0739
Practice Address - Fax:401-831-0661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-10
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health