Provider Demographics
NPI:1609034917
Name:ASSOCIATES IN COUNSELING LLC
Entity Type:Organization
Organization Name:ASSOCIATES IN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:ROCHE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:401-737-2021
Mailing Address - Street 1:335 CENTERVILLE RD BLDG #4
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886
Mailing Address - Country:US
Mailing Address - Phone:401-737-2021
Mailing Address - Fax:701-738-0026
Practice Address - Street 1:335 CENTERVILLE RD BLDG #4
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886
Practice Address - Country:US
Practice Address - Phone:401-737-2021
Practice Address - Fax:701-738-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILMFT00016106H00000X
RILMFT00036106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty