Provider Demographics
NPI:1912412800
Name:PATHS OF RHODE ISLAND, LLC
Entity Type:Organization
Organization Name:PATHS OF RHODE ISLAND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KLAPATCH
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:860-836-0833
Mailing Address - Street 1:40 KEEHER AVE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-2320
Mailing Address - Country:US
Mailing Address - Phone:860-836-0833
Mailing Address - Fax:
Practice Address - Street 1:30 W MAIN ST UNIT B
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-5112
Practice Address - Country:US
Practice Address - Phone:860-836-0833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-13
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health