Logan, Katie

Logan, Katie is an individual health care provider with primary practice located at 2 Old County Rd , Barrington RI 02806-1600. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Logan, Katie can be contacted via phone (401) 246-1195.

Contact Information

Primary practice address
2 Old County Rd Barrington RI 02806-1600
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDP00479 Rhode Island
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC00474 Rhode Island

Profile Details

NPI number 1487896429
LBN Legal business name Logan, Katie
Credentials LMHC, LCDP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2009
Last updated Apr 26th, 2011 - about 14 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 1487896429 NPPES
Rhode Island MEDICAID KC75232

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