Provider Demographics
NPI:1598459620
Name:FAMILY WELLNESS COUNSELING LLC
Entity Type:Organization
Organization Name:FAMILY WELLNESS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:FAIOES
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:401-636-2681
Mailing Address - Street 1:191 SOCIAL ST STE 430
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-3218
Mailing Address - Country:US
Mailing Address - Phone:401-636-2681
Mailing Address - Fax:401-766-3004
Practice Address - Street 1:191 SOCIAL ST STE 430
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-3218
Practice Address - Country:US
Practice Address - Phone:401-636-2681
Practice Address - Fax:401-766-3004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty