Provider Demographics
NPI:1821882598
Name:DAUNTLESS PSYCHOTHERAPY SERVICE, LLC
Entity type:Organization
Organization Name:DAUNTLESS PSYCHOTHERAPY SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:FROST
Authorized Official - Last Name:INGEBRETSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:401-481-1218
Mailing Address - Street 1:156 W SHORE DR
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:RI
Mailing Address - Zip Code:02822-1916
Mailing Address - Country:US
Mailing Address - Phone:401-481-1218
Mailing Address - Fax:
Practice Address - Street 1:215 TOLL GATE RD STE 309
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4463
Practice Address - Country:US
Practice Address - Phone:401-481-1218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health