Provider Demographics
NPI:1841746849
Name:ANASTASI, ROBERT JR (LMHC, CAGS, MA)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:ANASTASI
Suffix:JR
Gender:M
Credentials:LMHC, CAGS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 MISTY MEADOW LANE
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852
Mailing Address - Country:US
Mailing Address - Phone:401-595-2502
Mailing Address - Fax:
Practice Address - Street 1:127 MISTY MEADOW LN
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-3712
Practice Address - Country:US
Practice Address - Phone:401-595-2502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00797101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health