Provider Demographics
NPI:1568081206
Name:GENERATIONS PSYCHOTHERAPY INC.
Entity Type:Organization
Organization Name:GENERATIONS PSYCHOTHERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST- OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:AMIE
Authorized Official - Last Name:TRELOAR
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-419-7267
Mailing Address - Street 1:960 RESERVOIR AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-4447
Mailing Address - Country:US
Mailing Address - Phone:401-419-7267
Mailing Address - Fax:
Practice Address - Street 1:960 RESERVOIR AVE STE 10
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-4447
Practice Address - Country:US
Practice Address - Phone:401-419-7267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-13
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty