Organization · Type 2 NPI

Koann Therapeutic Services Inc

Psychiatric/Mental Health Nurse Practitioner · Providence, RI

NPI number 1629861224 Active

Practice location

845 N Main St Ste L1B
Providence, RI 02904-5775

Mailing address

PO Box 3085
Pawtucket, RI 02861-0585

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1629861224

Koann Therapeutic Services Inc's National Provider Identifier is 1629861224, issued on May 27, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Providence, RI. The record was last updated on Jan 23, 2026.