Colleen Madden Wham
Individual provider Active NPI Professional Counselor · Providence, RI
NPI 1629534243 · NPPES record last updated Feb 19, 2019
Key facts
- NPI
- 1629534243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC006657 (PA)
- Practice address
- 188 Valley St Ste 201
Providence, RI 02909-2468 - Phone
- (215) 285-0445
- NPI assigned
- Feb 19, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC006657 | PA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC006657 | PA | Yes |
Addresses
Primary practice location
188 Valley St Ste 201
Providence, RI 02909-2468
Mailing address
188 Valley St Ste 201
Providence, RI 02909-2468
Phone (215) 285-0445
Other providers in Providence, RI
- Judith Blazar Westrick
- Westside Psychology LLC
- Bryanna Rose Wetherell
- Albert K Weyman
- Michael Elliot Whalen
- Gary Wharton
- Aaron Paul Wheeler
- Carol Anne Wheeler
- Cheryl Wheeler
- Claudia Ann Wheeler
All providers in Providence, RI · Professional Counselor in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.