Lafountain, Kim
Lafountain, Kim is an individual health care provider with primary practice located at 249 Roosevelt Ave Suite 205, Pawtucket RI 02860-2134. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Lafountain, Kim can be contacted via phone (401) 724-8400.Contact Information
Primary practice address
249 Roosevelt Ave Suite 205
Pawtucket RI 02860-2134
Phone: (401) 724-8400
Fax: (401) 365-1100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LMHC00274 | Rhode Island |
Profile Details
| NPI number | 1508882093 |
|---|---|
| LBN Legal business name | Lafountain, Kim |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508882093 | NPPES |
| Rhode Island | Other | BLUE CROSS | LMHC |
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