Organization Name: | LEE TOMAS, LICSW |
NPI Number: | 1740463728 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEE TOMAS (PSYCHOTHERAPIST) |
Mailing Address: | 63 Eddie Dowling Hwy Suite 6 North Smithfield |
State: | RI US |
Postal Code: | 028967322 |
Phone Number: | 4017669400 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2007 |
NPI Last Update Date: | 12/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | ISW01037 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |