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Organization
FELLOWSHIP HEALTH RESOURCES, INC
Active
Organization
FELLOWSHIP HEALTH RESOURCES, INC
Active
Other names
Elwyn Adult Behavioral Health Services, Fellowship Health Resources d/b/a Elwyn Adult Behavioral Health Servic
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE MCLAUGHLIN (CONTRACTS AND CREDENTIALING CORR.)
(919) 896-3581
Entity
Organization
Contact information
Practice address
24 ALBION RD STE 210, LINCOLN, RI 02865-3747
(401) 642-4416
(401) 642-4453
Mailing address
24 ALBION RD STE 210, LINCOLN, RI 02865-3747
(401) 642-4416
(401) 642-4453
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
DE
251B00000X
Case Management Agency
—
MA
251B00000X
Case Management Agency
—
RI
261Q00000X
Clinic/Center
—
DE
261Q00000X
Clinic/Center
—
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
MHL-092-684
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
—
MA
320800000X
Mental Illness Community Based Residential Treatment Facility
—
ME
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000656461
—
DE
05
—
004944038
—
VA
05
—
004945662
—
VA
05
—
1000022578
—
DE
05
—
10000656461
—
DE
05
—
100814610-0013
—
PA
05
—
100814610-0018
—
PA
05
—
100814610-0019
—
PA
05
—
100814610-0020
—
PA
05
—
100814610-0023
—
PA
05
—
1245239680
—
ME
05
—
1245239680-007
—
ME
05
—
15626000
—
ME
05
—
NE02148
—
RI
05
—
NE02149
—
RI
Enumeration date
07/19/2005
Last updated
09/18/2026
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