# BAXTER BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972975845
- **Authorized official:** RYAN PATRICK BAXTER PMHPN-BC (OWNER)
- **Authorized official phone:** (401) 267-4485

## Contact information

- **Practice address:** 1130 TEN ROD RD STE D101, NORTH KINGSTOWN, RI 02852-4161
- **Practice address phone:** (401) 267-4485
- **Practice address fax:** (401) 267-4534
- **Mailing address:** PO BOX 949, NORTH KINGSTOWN, RI 02852-0610
- **Mailing address phone:** (401) 267-4485
- **Mailing address fax:** (401) 267-4534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | NPP37892 | RI | Yes |

## Other

- **Enumeration date:** 10/30/2015
- **Last updated:** 06/05/2024