NPI Index

KOANN THERAPEUTIC SERVICES INC

Nurse Practitioner - Psychiatric/Mental Health

Active Organization
NPI: 1639843303

Practice Address

845 N MAIN ST
Providence, RI 02904

Phone: (401) 648-7172

Specialties

Specialty Code Primary License
Clinic/Center - Multi-Specialty 261QM1300X No -
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent 163WP0807X No -
Clinic/Center - Mental Health (Including Community Mental Health Center) 261QM0801X No -
Registered Nurse 163W00000X No -
Case Management 251B00000X No -
Registered Nurse - Psychiatric/Mental Health, Adult 163WP0809X No -
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes -

Frequently Asked Questions

NPI 1639843303 is the National Provider Identifier for KOANN THERAPEUTIC SERVICES INC, a Nurse Practitioner - Psychiatric/Mental Health provider located in Providence, RI. This NPI was enumerated on August 5, 2021.

Quick Facts

NPI
1639843303
Type
Organization
Enumerated
Aug 5, 2021
Last Updated
Jan 12, 2026

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