Individual
COREY POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, LMHC
Contact information
Practice address
1 RICHMOND SQ STE 300E, PROVIDENCE, RI 02906-5160
(401) 349-3131
(401) 921-5109
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
(352) 565-1044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10241
MA
101YM0800X
Mental Health Counselor
20428
FL
101YM0800X
Mental Health Counselor
Primary
APRN11020548
FL
163WP0808X
Psychiatric/Mental Health Registered Nurse
9588600
FL
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2331123
MA
Other
Enumeration date
05/05/2015
Last updated
08/27/2025
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