Provider Demographics
NPI:1669644936
Name:COUNSELING CONNECTIONS, INC
Entity Type:Organization
Organization Name:COUNSELING CONNECTIONS, INC
Other - Org Name:COUNSELING CONNECTIONS DBF STEPHAINE MANCINI
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MANCINI
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-294-3350
Mailing Address - Street 1:1130 TEN ROD ROAD
Mailing Address - Street 2:SUITE E206
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852
Mailing Address - Country:US
Mailing Address - Phone:401-294-3350
Mailing Address - Fax:401-294-3320
Practice Address - Street 1:1130 TEN ROD ROAD
Practice Address - Street 2:SUITE E206
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852
Practice Address - Country:US
Practice Address - Phone:401-294-3350
Practice Address - Fax:401-294-3320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty