Organization Name: | SAKONNET ASSOCIATES COUNSELING |
NPI Number: | 1508264565 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERALDINE FELDMAN (CLINICAL SOCIAL WORKER) |
Mailing Address: | 155 Main Rd Tiverton |
State: | RI US |
Postal Code: | 028781236 |
Phone Number: | 4016247473 |
Fax Number: | |
NPI Enumeration Date: | 12/08/2014 |
NPI Last Update Date: | 12/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | ISW02489 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |