Abby Vaughn

Individual provider Active NPI Professional Counselor · Providence, RI

NPI 1972929412 · NPPES record last updated Mar 7, 2014

Key facts

NPI
1972929412
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
153 Summer St
Providence, RI 02903-4011
Phone
(401) 276-4300
Fax
(401) 331-3285
NPI assigned
Mar 7, 2014
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
Children'S Friend and Service Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Yes

Addresses

Primary practice location

153 Summer St
Providence, RI 02903-4011

Mailing address

153 Summer St
Providence, RI 02903-4011
Phone (401) 276-4300

Other providers in Providence, RI

All providers in Providence, RI · Professional Counselor in Rhode Island

Sources for this page

Verify at the official NPI Registry.