Provider Demographics
NPI:1508264565
Name:SAKONNET ASSOCIATES COUNSELING
Entity Type:Organization
Organization Name:SAKONNET ASSOCIATES COUNSELING
Other - Org Name:TRANSFORMATION IN PROGRESS COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FELDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, MSW
Authorized Official - Phone:401-662-1419
Mailing Address - Street 1:155 MAIN RD
Mailing Address - Street 2:
Mailing Address - City:TIVERTON
Mailing Address - State:RI
Mailing Address - Zip Code:02878-1236
Mailing Address - Country:US
Mailing Address - Phone:401-624-7473
Mailing Address - Fax:
Practice Address - Street 1:155 MAIN RD
Practice Address - Street 2:
Practice Address - City:TIVERTON
Practice Address - State:RI
Practice Address - Zip Code:02878-1236
Practice Address - Country:US
Practice Address - Phone:401-624-7473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW02489101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty