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Organization
RHODE ISLAND COUNSELING ASSOCIATES LLC
Active
Organization
RHODE ISLAND COUNSELING ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY KEITH HILLIS (PARTNER)
(401) 259-0340
Entity
Organization
Contact information
Practice address
1150 RESERVOIR AVE STE 203, CRANSTON, RI 02920-6043
(401) 259-0340
Mailing address
1150 RESERVOIR AVE STE 203, CRANSTON, RI 02920-6043
(401) 259-0340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MHC00757
RI
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/05/2018
Last updated
01/26/2021
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