Teesha Behavioral Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TEESHA BEHAVIORAL SERVICES LLC

Practice address

321 Lowell Ave
Providence, RI 02909-5228

Phone

(770) 718-4490

NPI assigned

Jun 12, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lateesha Rainey

Title

Owner

Phone

(770) 448-2092

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1407698194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 LOWELL AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029095228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 LOWELL AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029095228",
            "telephone_number": "770-718-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEESHA BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "RAINEY",
        "authorized_official_first_name": "LATEESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-448-2092"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Catherine Taylor, MD
• Timothy Joseph Taylor I, L.C.D.P.
• Victoria Taylor, LCSW
• Daniella Teape, MD
• Technest Solution
• Colin Teeter, PH.D.
• Kerrie Ellen Tehan, LMHC
• Ayla Asa Teitelbuam, D.AC.
• Karen Teixeira, LICSW
• Kelly Anne Teixeira, ATC

• Community/Behavioral Health Agency in Providence, RI
• Providers in Providence, RI by specialty
• Community/Behavioral Health Agency in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.