Provider Demographics
NPI:1518419472
Name:COMPREHENSIVE BEHAVIORAL HEALTHCARE
Entity Type:Organization
Organization Name:COMPREHENSIVE BEHAVIORAL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MFT
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLEURANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-374-8858
Mailing Address - Street 1:227 W MAIN RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-4900
Mailing Address - Country:US
Mailing Address - Phone:401-374-8858
Mailing Address - Fax:401-847-1047
Practice Address - Street 1:227 W MAIN RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-4900
Practice Address - Country:US
Practice Address - Phone:401-374-8858
Practice Address - Fax:401-847-1047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMFT106H00000X
2084P0800X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty