Provider Demographics
NPI:1467279679
Name:OCEAN STATE OF MIND COUNSELING LLC
Entity type:Organization
Organization Name:OCEAN STATE OF MIND COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GILREATH
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:401-203-7340
Mailing Address - Street 1:1800 MENDON RD STE E-527
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-4391
Mailing Address - Country:US
Mailing Address - Phone:401-203-7340
Mailing Address - Fax:
Practice Address - Street 1:250 HIGHLAND CORPORATE DR APT 101
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-8733
Practice Address - Country:US
Practice Address - Phone:401-203-7340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health