Provider Demographics
NPI:1467250654
Name:ANNE LUDES LICSW
Entity type:Organization
Organization Name:ANNE LUDES LICSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUDES
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-480-3749
Mailing Address - Street 1:36 ANCHORAGE CT
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-4570
Mailing Address - Country:US
Mailing Address - Phone:401-480-3749
Mailing Address - Fax:
Practice Address - Street 1:117 BELLEVUE AVE STE 201A
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-7439
Practice Address - Country:US
Practice Address - Phone:401-480-3749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)