Provider Demographics
NPI:1043550353
Name:INWARD EXPRESSIONS, LLC
Entity type:Organization
Organization Name:INWARD EXPRESSIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENETTE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC; LPC; ATR-BC
Authorized Official - Phone:401-207-2212
Mailing Address - Street 1:16 HIGH STREET
Mailing Address - Street 2:BROWN BLDG OFC 6
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891
Mailing Address - Country:US
Mailing Address - Phone:401-207-2212
Mailing Address - Fax:
Practice Address - Street 1:16 HIGH STREET
Practice Address - Street 2:BROWN BLDG OFC 6
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891
Practice Address - Country:US
Practice Address - Phone:401-207-2212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-22
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00513305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIMD87149Medicare PIN