Provider Demographics
NPI:1457015174
Name:D & S COUNSELING LLC
Entity Type:Organization
Organization Name:D & S COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DWYER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-692-4687
Mailing Address - Street 1:1240 PAWTUCKET AVENUE
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENE
Mailing Address - State:RI
Mailing Address - Zip Code:02916
Mailing Address - Country:US
Mailing Address - Phone:401-692-4687
Mailing Address - Fax:
Practice Address - Street 1:1240 PAWTUCKET AVENUE
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENE
Practice Address - State:RI
Practice Address - Zip Code:02916
Practice Address - Country:US
Practice Address - Phone:401-692-4687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty