Provider Demographics
NPI:1033910682
Name:EMERALD SPRINGS EQUINE SERVICES
Entity type:Organization
Organization Name:EMERALD SPRINGS EQUINE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:MANION
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:847-412-8000
Mailing Address - Street 1:PO BOX 3344
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-0992
Mailing Address - Country:US
Mailing Address - Phone:860-787-4112
Mailing Address - Fax:
Practice Address - Street 1:287 THIRD BEACH RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-5736
Practice Address - Country:US
Practice Address - Phone:860-787-4112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty