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
Phone: (401) 356-1940
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508034208 | NPPES |
Rhode Island | Other | 167 | COUNSELOR |
Rhode Island | MEDICAID | KL69638 | COUNSELOR |
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