Provider Demographics
NPI:1760279731
Name:BESEDIN, MARIA (LMHC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:BESEDIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:MASHA
Other - Middle Name:
Other - Last Name:BESEDIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:173 TUCKERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-6046
Mailing Address - Country:US
Mailing Address - Phone:508-574-4441
Mailing Address - Fax:
Practice Address - Street 1:1016 E MAIN RD FL 2
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:RI
Practice Address - Zip Code:02871-2345
Practice Address - Country:US
Practice Address - Phone:508-574-4441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC01830101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health