BRENDA DIANE ELINE


Address: 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364
Phone: 4016830857

BRENDA DIANE ELINE (NPI# 1942605522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942605522
Entity Type Individual
Full Name BRENDA DIANE ELINE
Practice Address 11 King Charles Dr Ste A2
Portsmouth
RI 02871-1364
Practice Telephone 4016830857
Practice Fax Number 4012930142
Mailing Telephone 4016830857
Mailing Fax Number 4012930142
Enumeration Date 2014-10-25
Last Update Date 2014-10-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CDP595 RI Behavioral Health & Social Service Providers

Office Location

Street Address 11 KING CHARLES DR STE A2
City PORTSMOUTH
State RI
Zip Code 02871-1364

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114252897 Sarah Mcneill Specialist 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 2009-10-13
1699376970 Simply Speech LLC Speech-Language Pathologist 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 2020-11-04
1073125233 Kara A Dunivin Occupational Therapy Assistant 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 2020-08-19
1902373046 Adcare Rhode Island Clinic/Center 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 2018-10-26
1306367412 Edward Joseph Ferreira Counselor 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 2017-06-28
1255861431 Laine Fountain Occupational Therapy Assistant 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 2017-06-19
1497165898 Stephanie Elisabeth Conrad Kelley Speech-Language Pathologist 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 2014-05-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487028783 Jocelyn Arruda Marriage & Family Therapist 275 Mccorrie Lane, Portsmouth, RI 02871 2015-11-24
1841587417 Visiting Nurse Services of Newport and Bristol Counties Clinic/Center 1184 East Main Road, Portsmouth, RI 02871 2011-07-05
1831483148 James Patrick Nolan Pathology 150 Carnegie Harbor Drive, Portsmouth, RI 02871 2011-06-03
1720378623 Thomas Francis Reitano Pharmacist 3034 East Main Rd, Portsmouth, RI 02871 2011-04-12
1063716793 Amber Kaltenstein Psychologist 2820 E Main Rd, Portsmouth, RI 02871 2011-01-10
1760660773 Susan Mandrachia Killebrew Social Worker 107 Clock Tower Square, Portsmouth, RI 02871 2008-02-01
1235348335 East Bay Endoscopy Center LLC Clinic/Center 109 Clock Tower Square, Portsmouth, RI 02871 2007-05-22
1346369147 Todd Matthew Carbone Physical Therapy Assistant 459 Wapping Rd, Portsmouth, RI 02871 2007-03-29
1952436032 Newport County Regional Special Education Local Education Agency (LEA) Elmhurst School, 1 Frank Coelho Drive, Portsmouth, RI 02871 2007-02-22
1437292760 Aquidneck Dental, Inc. Dentist 21 King Charles Drive, Portsmouth, RI 02871 2007-02-15
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346858305 Gwendolyn Daniels Slade Counselor 9 Canoe Ct, Portsmouth, VA 23703-5380 2020-07-16
1801410550 Tequila Marie Estep Counselor 1870 Swauger Valley Rd, Portsmouth, OH 45662-9097 2020-05-28
1477174126 Hollie Sue Maund Counselor 1619 Chillicothe St, Portsmouth, OH 45662-3477 2020-05-05
1730748260 Mary Yost Counselor 212 Islington St, Portsmouth, NH 03801-4204 2019-06-09
1871150961 Southern Hope Recovery Center Counselor 4342 Gallia St Ste A, Portsmouth, OH 45662-5563 2019-05-23
1851878540 Laura K Lennex Counselor 5611 Gallia St, Portsmouth, OH 45662-5520 2018-07-25
1851880827 Latiesha Davis Wiggins Counselor 355 Crawford St Ste 502, Portsmouth, VA 23704-2822 2018-05-06
1437667045 Angela Dyke Counselor 1907 11th St, Portsmouth, OH 45662-4531 2018-01-17
1104338870 Aryn Brown Counselor 1311 2nd St, Portsmouth, OH 45662-4602 2017-11-02
1871010967 Nicole Lynne Johnson Counselor 800 Gallia Street Suite 600, Portsmouth, OH 45662 2017-08-29
Find all providers in PORTSMOUTH

Competitor

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City PORTSMOUTH
Zip Code 02871

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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