Lawrence, Kipp R

Lawrence, Kipp R is an individual health care provider with primary practice located at 68 Cumberland St Suite 102, Woonsocket RI 02895-3300. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Lawrence, Kipp R can be contacted via phone (401) 356-1940.

Contact Information

Primary practice address
68 Cumberland St Suite 102 Woonsocket RI 02895-3300
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 167 Rhode Island
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC00446 Rhode Island

Profile Details

NPI number 1508034208
LBN Legal business name Lawrence, Kipp R
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2008
Last updated Apr 25th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508034208 NPPES
Rhode Island Other 167 COUNSELOR
Rhode Island MEDICAID KL69638 COUNSELOR

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