Organization
COORDINATED COUNSELING SERVICES, LLC
Active
Other names
PresentSelf Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE RACHEL XAVIER MA, CAGS, LMHC (PSYCHOTHERAPIST/DIRECTOR)
(401) 862-1877
Entity
Organization
Contact information
Practice address
221 KILVERT ST, WARWICK, RI 02886-1343
(401) 328-5659
Mailing address
221 KILVERT ST, WARWICK, RI 02886-1343
(401) 862-1877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHC00375
STATE LICENSE
RI
Enumeration date
06/07/2011
Last updated
06/01/2022
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