Organization
ISLAND LIGHT PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY ALLERTON (OWNER)
(330) 607-0315
Entity
Organization
Contact information
Practice address
11 KING CHARLES DR STE A, PORTSMOUTH, RI 02871-1364
(306) 070-3153
Mailing address
11 KING CHARLES DR STE A, PORTSMOUTH, RI 02871-1364
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
05/21/2020
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