Provider Demographics
NPI:1700436185
Name:RIDINGS, ANNMARIE
Entity Type:Individual
Prefix:
First Name:ANNMARIE
Middle Name:
Last Name:RIDINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANNMARIE
Other - Middle Name:
Other - Last Name:RIDINGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:20 TINKHAM LN
Mailing Address - Street 2:
Mailing Address - City:MATTAPOISETT
Mailing Address - State:MA
Mailing Address - Zip Code:02739-1025
Mailing Address - Country:US
Mailing Address - Phone:508-944-2158
Mailing Address - Fax:
Practice Address - Street 1:306 MOUNT PLEASANT ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02746-1539
Practice Address - Country:US
Practice Address - Phone:508-944-2158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4031101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health