Provider Demographics
NPI:1356780696
Name:TONSKI, ANDREA (LMHC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:TONSKI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 THAMES ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-2536
Mailing Address - Country:US
Mailing Address - Phone:401-846-4150
Mailing Address - Fax:401-846-9340
Practice Address - Street 1:93 THAMES ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-2536
Practice Address - Country:US
Practice Address - Phone:401-846-4150
Practice Address - Fax:401-846-9340
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
RIMHC00901101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIGH57134Medicaid