MARLENA-RAY BREAULT (NPI# 1144619172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144619172 |
| Entity Type | Individual |
| Full Name | MARLENA-RAY BREAULT |
| Credential | LCDP,ACDP |
| Practice Address |
1950 Tower Hill Rd North Kingstown RI 02852-6639 |
| Mailing Address |
Po Box 1700 Woonsocket RI 02895-0856 |
| Practice Telephone | 4012357000 |
| Mailing Telephone | 4012357000 |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDP00601 | RI | Behavioral Health & Social Service Providers |
| Street Address |
1950 TOWER HILL RD |
| City | NORTH KINGSTOWN |
| State | RI |
| Zip Code | 02852-6639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720040728 | Michael C Coburn | Psychiatry & Neurology | 1950 Tower Hill Rd, North Kingstown, RI 02852-6639 | 2006-04-05 |
| 1124586508 | Lindsey Crowninshield | Counselor | 1950 Tower Hill Rd, North Kingstown, RI 02852-6639 | 2019-03-05 |
| 1588179287 | Danielle Cunningham | Counselor | 1950 Tower Hill Rd, North Kingstown, RI 02852-6639 | 2017-12-05 |
| 1376072348 | Katherine Kerr Anderson | Social Worker | 1950 Tower Hill Rd, North Kingstown, RI 02852-6639 | 2017-06-05 |
| 1376999193 | Katelynn Sorrentino | Counselor | 1950 Tower Hill Rd, North Kingstown, RI 02852-6639 | 2016-05-11 |
| 1265825053 | Justine Stroble | Registered Nurse | 1950 Tower Hill Rd, North Kingstown, RI 02852-6639 | 2015-03-18 |
| 1700277373 | Kayla E Kiers | Licensed Vocational Nurse | 1950 Tower Hill Rd, North Kingstown, RI 02852-6639 | 2015-02-18 |
| 1902201148 | Ashley Thrasher | Registered Nurse | 1950 Tower Hill Rd, North Kingstown, RI 02852-6639 | 2014-10-30 |
| 1699175836 | Heather Butler | Registered Nurse | 1950 Tower Hill Rd, North Kingstown, RI 02852-6639 | 2014-08-25 |
| 1164822474 | Adcare Rhode Island | Substance Abuse Rehabilitation Facility | 1950 Tower Hill Rd, North Kingstown, RI 02852-6639 | 2014-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037059 | Rhode Island Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4255 Quaker Lane, North Kingstown, RI 02852 | 2020-06-15 |
| 1588216543 | Stop Look & Listen LLC | Counselor | 917 Ten Rod Rd, 917 Ten Rod Rd., North Kingstown, RI 02852 | 2019-07-10 |
| 1841856358 | Carlos Albert Saraiva | Pharmacist | 113 Frenchtown Road, North Kingstown, RI 02852 | 2019-05-10 |
| 1184143851 | Jessica Topitzer | Nurse Practitioner | 426f Scrabbletown Rd., N. Kingstown, RI 02852 | 2017-09-14 |
| 1275074940 | Amanda Kathryn Lennon | Social Worker | 2 Ripple Lane, North Kingstown, RI 02852 | 2017-03-15 |
| 1164975728 | Charlotte Elizabeth Bigg | Dentist | 145 Phillips St, North Kingstown, RI 02852 | 2016-08-01 |
| 1043603913 | Pamela Morelli | Social Worker | 426 Scrabbletown Rd., North Kingstown, RI 02852 | 2015-03-16 |
| 1942691845 | Catherine Cooney | Counselor | 1130 Ten Rod Rd, Ste E305, North Kingstown, RI 02852 | 2015-02-12 |
| 1154753168 | Kenneth N Beaupre | Counselor | 23 Brown St Ste 107, North Kingstown, RI 02852 | 2013-07-31 |
| 1154613909 | Kimberly Micucci | Counselor | 1950 Tower Hill Road, Acute Stabilization Unit, North Kingstown, RI 02852 | 2011-05-12 |
| Find all providers in zip 02852 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679126452 | Mary Musial | Counselor | 22 Midway Dr, North Kingstown, RI 02852-2514 | 2019-07-20 |
| 1942621669 | Kerri Spier | Counselor | 23 Brown St, North Kingstown, RI 02852-5057 | 2013-12-23 |
| 1154613909 | Kimberly Micucci | Counselor | 1950 Tower Hill Road, Acute Stabilization Unit, North Kingstown, RI 02852 | 2011-05-12 |
| 1437440500 | Erin M Testa | Counselor | Unit 1950 Tower Hill Road, Sstar, North Kingstown, RI 02852-4817 | 2011-04-25 |
| 1376740670 | Maria Sorensen | Counselor | 1180 Old Baptist Rd, North Kingstown, RI 02852-3647 | 2007-06-29 |
| 1467589382 | Frank Christopher Sorensen | Counselor | 1130 Ten Rod Road Suite F207 Bldg. F, North Kingstown, RI 02852-3647 | 2007-02-27 |
| 1750305405 | Diagnostic Evaluation Institute. LLC | Counselor | 580 Ten Rod Rd, North Kingstown, RI 02852-4220 | 2006-07-26 |
| 1851859771 | Steven Robert Jones | Counselor | 1130 Ten Rod Rd, North Kingstown, RI 02852-4161 | 2019-03-10 |
| 1588179287 | Danielle Cunningham | Counselor | 1950 Tower Hill Rd, North Kingstown, RI 02852-6639 | 2017-12-05 |
| 1376999193 | Katelynn Sorrentino | Counselor | 1950 Tower Hill Rd, North Kingstown, RI 02852-6639 | 2016-05-11 |
| Find all providers in NORTH KINGSTOWN | ||||
| City | NORTH KINGSTOWN |
| Zip Code | 02852 |
Please comment or provide details below to improve the information on MARLENA-RAY BREAULT.
| 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.