Alicia M Pacheco

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Warwick, RI

NPI 1972891372 · NPPES record last updated Jul 19, 2011

Key facts

NPI
1972891372
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
205 Hallene Rd Unit 102
Warwick, RI 02886-2451
Phone
(401) 737-4788
NPI assigned
Jul 19, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Recovery Institute-South Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

205 Hallene Rd Unit 102
Warwick, RI 02886-2451

Mailing address

62 Mason Rd
Barrington, RI 02806-2622
Phone (401) 737-4788

Other providers in Warwick, RI

All providers in Warwick, RI · Addiction (Substance Use Disorder) Counselor in Rhode Island

Sources for this page

Verify at the official NPI Registry.