Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Koann Therapeutic Services Inc

Organization Case Management Agency · NPI 1629861224

Koann Therapeutic Services Inc is a Case Management Agency in Providence, Rhode Island. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

845 N Main St Ste L1B
Providence, RI 02904-5775
Phone: (401) 648-7172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Case Management Agency Taxonomy 251B00000X

Record details

NPI number1629861224
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKoann Therapeutic Services Inc
Authorized official Akos Antwi — Ceo · (401) 648-7172
Other names Revive Therapeutic Services
NPI enumeratedMay 27, 2025
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026
Mailing addressPo Box 3085, Pawtucket, RI 02861-0585

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