Provider Demographics
NPI:1437912946
Name:CHARASSEIN COUNSELING CENTER LLC
Entity Type:Organization
Organization Name:CHARASSEIN COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTITIONER/MH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, MDIV
Authorized Official - Phone:214-708-8168
Mailing Address - Street 1:194 BARTON ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-1928
Mailing Address - Country:US
Mailing Address - Phone:214-708-8168
Mailing Address - Fax:
Practice Address - Street 1:194 BARTON ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-1928
Practice Address - Country:US
Practice Address - Phone:214-708-8168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty