Organization
FAMILY ASSOCIATES
Active
Organization
FAMILY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE JAMES MANKO LICSW (GENERAL PARTNER)
(401) 737-6436
Entity
Organization
Contact information
Practice address
615 JEFFERSON BLVD, SUITE 208B, WARWICK, RI 02886-1357
(401) 737-6436
(401) 732-1228
Mailing address
615 JEFFERSON BLVD, SUITE 208B, WARWICK, RI 02886-1357
(401) 737-6436
(401) 732-1228
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021900
BEACON HEALTH STRATEGIES
RI
Enumeration date
04/01/2007
Last updated
09/11/2025
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