Provider Demographics
NPI:1316545114
Name:NEW RHODE COUNSELING LLC
Entity Type:Organization
Organization Name:NEW RHODE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:L
Authorized Official - Last Name:GARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:401-743-1620
Mailing Address - Street 1:175 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02830-1501
Mailing Address - Country:US
Mailing Address - Phone:401-743-1620
Mailing Address - Fax:401-574-2003
Practice Address - Street 1:30 MARTIN ST # 3M
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-5321
Practice Address - Country:US
Practice Address - Phone:401-743-1620
Practice Address - Fax:401-574-2003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-14
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)