Provider Demographics
NPI:1093915738
Name:WEEKES, KATHERINE FRANCES (CCDP, LADC, LPC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:FRANCES
Last Name:WEEKES
Suffix:
Gender:F
Credentials:CCDP, LADC, LPC
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:FRANCES
Other - Last Name:MUSE-MCGEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 PUTNAM PIKE STE 7
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02828-1487
Mailing Address - Country:US
Mailing Address - Phone:401-949-2220
Mailing Address - Fax:401-633-6564
Practice Address - Street 1:600 PUTNAM PIKE STE 7
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:RI
Practice Address - Zip Code:02828-1487
Practice Address - Country:US
Practice Address - Phone:401-949-2220
Practice Address - Fax:401-633-6564
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000786101YA0400X
RICDP00812101YA0400X
RIMHC01086101YM0800X
CT001780101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1093915738Medicaid