| Organization Name: | COUNSELING SERVICES OF RHODE ISLAND |
| NPI Number: | 1124319892 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNE BOUTIN-GAMMON (OWNER) |
| Mailing Address: | 225 Newman Ave Rumford |
| State: | RI US |
| Postal Code: | 029161218 |
| Phone Number: | 5085610477 |
| Fax Number: | 8005950717 |
| NPI Enumeration Date: | 04/28/2011 |
| NPI Last Update Date: | 04/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 000576078 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |