Provider Demographics
NPI:1619310927
Name:DIAMOND HILL COUNSELING
Entity Type:Organization
Organization Name:DIAMOND HILL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:GERIBO
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-580-6461
Mailing Address - Street 1:19 CAPRI DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-3328
Mailing Address - Country:US
Mailing Address - Phone:401-580-6461
Mailing Address - Fax:
Practice Address - Street 1:425 DIAMOND HILL RD # 1F
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-1491
Practice Address - Country:US
Practice Address - Phone:401-580-6461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW015121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty