Individual
MRS. ANN UNDERWOOD MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LCDP LCMHC
Contact information
Practice address
610 WAMPANOAG TRAIL, EAST BAY MENTAL HEALTH, E PROVIDENCE, RI 02915
(401) 431-9870
(401) 435-7486
Mailing address
8 PORTER RD, MIDDLETOWN, RI 02842
(401) 846-4009
(401) 846-4009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00005
RI
101YM0800X
Mental Health Counselor
Primary
00038
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3010S1
BLUE CROSS
RI
01
—
406682
BLUE CHIP
RI
01
—
6220028
UBH
RI
05
—
O7826
—
RI
Enumeration date
06/27/2006
Last updated
09/11/2025
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