Provider Demographics
NPI:1326214537
Name:KAFALAS, NAYDEEN RAEONE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:NAYDEEN
Middle Name:RAEONE
Last Name:KAFALAS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 SNAKE HILL RD
Mailing Address - Street 2:
Mailing Address - City:HARRISVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02830-1876
Mailing Address - Country:US
Mailing Address - Phone:401-580-8452
Mailing Address - Fax:
Practice Address - Street 1:2138 MENDON RD
Practice Address - Street 2:SUITE 104
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-3834
Practice Address - Country:US
Practice Address - Phone:401-580-8452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00367101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health