Provider Demographics
NPI:1811025026
Name:RONALD N. MANCINI AND ASSOCIATES
Entity Type:Organization
Organization Name:RONALD N. MANCINI AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:N
Authorized Official - Last Name:MANCINI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, ACS, LCMHC
Authorized Official - Phone:401-253-7575
Mailing Address - Street 1:970 HOPE ST UNIT 5
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-5210
Mailing Address - Country:US
Mailing Address - Phone:401-253-7575
Mailing Address - Fax:401-253-1733
Practice Address - Street 1:970 HOPE ST UNIT 5
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:RI
Practice Address - Zip Code:02809-5210
Practice Address - Country:US
Practice Address - Phone:401-253-7575
Practice Address - Fax:401-253-1733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00001101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty