South Shore Center Inc
LBN: South Shore Center Inc
South Shore Center Inc is an health care organization with primary practice located at 4705A Old Post Rd , Charlestown RI 02813-1819. The organization recently has 6 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 / Group Psychotherapy, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Group Psychotherapy is the primary health care specialty.
South Shore Center Inc can be contacted via phone (401) 364-7705, or through Yeamen, Dorothy A via phone (401) 364-7705.
Contact Information
Primary practice address
4705A Old Post Rd
Charlestown RI 02813-1819
Phone: (401) 364-7705
Fax: (401) 364-9104
Website:
Authorized official contact:
Name: Yeamen, Dorothy A Master of Public Administration (MPA)
Phone: (401) 364-7705
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1255327391 |
|---|---|
| LBN Legal business name | South Shore Center Inc |
| DBA Doing business as | |
| Authorized official | Yeamen, Dorothy A Master of Public Administration (MPA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jan 24th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255327391 | NPPES |
| Rhode Island | Other | 25450 | BLUE CROSS GROUP ID |
| Rhode Island | MEDICAID | 9001875 | BLUE CROSS GROUP ID |
| Rhode Island | MEDICAID | SS02237 | BLUE CROSS GROUP ID |
| Rhode Island | Other | 201774 | BLUE CROSS GROUP ID |
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