Provider Demographics
NPI:1245682459
Name:RINGWOOD, CHARLOTTE (LMHC-ATR)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:RINGWOOD
Suffix:
Gender:F
Credentials:LMHC-ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 SHADY LEA ROAD
Mailing Address - Street 2:STUDIO #210
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-7016
Mailing Address - Country:US
Mailing Address - Phone:401-742-9601
Mailing Address - Fax:401-555-5555
Practice Address - Street 1:215 SHADY LEA ROAD
Practice Address - Street 2:STUDIO #210
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-7016
Practice Address - Country:US
Practice Address - Phone:401-742-9601
Practice Address - Fax:401-555-5555
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-12
Last Update Date:2020-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00803101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health