Provider Demographics
NPI:1437899663
Name:FURCOLO, CAROLINE (LPCA)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:FURCOLO
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 ROCKWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02879-1484
Mailing Address - Country:US
Mailing Address - Phone:401-787-8215
Mailing Address - Fax:
Practice Address - Street 1:195 ROCKWOOD LN
Practice Address - Street 2:
Practice Address - City:SOUTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02879-1484
Practice Address - Country:US
Practice Address - Phone:401-787-8215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health