Provider Demographics
NPI:1063253680
Name:MCGINNIS, BETHANY KARBOWSKI (MHCA)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:KARBOWSKI
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:MHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 COOPER HILL RD
Mailing Address - Street 2:
Mailing Address - City:MAPLEVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02839-1102
Mailing Address - Country:US
Mailing Address - Phone:203-767-7030
Mailing Address - Fax:
Practice Address - Street 1:180 TINKHAM LN STE 1
Practice Address - Street 2:
Practice Address - City:HARRISVILLE
Practice Address - State:RI
Practice Address - Zip Code:02830-1444
Practice Address - Country:US
Practice Address - Phone:401-289-1498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00204-A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health