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
Phone: (401) 246-1195
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487896429 | NPPES |
Rhode Island | MEDICAID | KC75232 |
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