# CAMINO COUNSELING CENTER LLC

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

## Provider details

- **NPI number:** 1578371050
- **Authorized official:** ANDREW ROBERT EGAN LICSW (OWNER)
- **Authorized official phone:** (401) 400-4997

## Contact information

- **Practice address:** 22 PARSONAGE ST \# 143, PROVIDENCE, RI 02903-4732
- **Practice address phone:** (401) 400-4997
- **Practice address fax:** (401) 227-8112
- **Mailing address:** 22 PARSONAGE ST \# 143, PROVIDENCE, RI 02903-4732
- **Mailing address phone:** (401) 400-4997
- **Mailing address fax:** (401) 227-8112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2024
- **Last updated:** 12/30/2024