# RHODE ISLAND COUNSELING ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336638303
- **Authorized official:** JEREMY KEITH HILLIS (PARTNER)
- **Authorized official phone:** (401) 259-0340

## Contact information

- **Practice address:** 1150 RESERVOIR AVE STE 203, CRANSTON, RI 02920-6043
- **Practice address phone:** (401) 259-0340
- **Mailing address:** 1150 RESERVOIR AVE STE 203, CRANSTON, RI 02920-6043
- **Mailing address phone:** (401) 259-0340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | MHC00757 | RI | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 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
