Provider Demographics
NPI:1326078122
Name:OCEAN STATE PSYCHOTHERAPY, INC.
Entity Type:Organization
Organization Name:OCEAN STATE PSYCHOTHERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-268-3886
Mailing Address - Street 1:1130 TEN ROD RD
Mailing Address - Street 2:SUITE F 203
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-4161
Mailing Address - Country:US
Mailing Address - Phone:401-268-3886
Mailing Address - Fax:401-268-3887
Practice Address - Street 1:1130 TEN ROD RD
Practice Address - Street 2:SUITE F 203
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-4161
Practice Address - Country:US
Practice Address - Phone:401-268-3886
Practice Address - Fax:401-268-3887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty