Provider Demographics
NPI:1013797786
Name:NEUROHEALTH CONSULTING PC
Entity Type:Organization
Organization Name:NEUROHEALTH CONSULTING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEBEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-924-1906
Mailing Address - Street 1:38 HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:TIVERTON
Mailing Address - State:RI
Mailing Address - Zip Code:02878-4410
Mailing Address - Country:US
Mailing Address - Phone:401-924-1906
Mailing Address - Fax:508-466-6522
Practice Address - Street 1:1822 N MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-1348
Practice Address - Country:US
Practice Address - Phone:401-924-1906
Practice Address - Fax:508-466-6522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1730233644OtherNPPES
1780752501OtherNPPES