Provider Demographics
| NPI: | 1528886926 |
|---|---|
| Name: | FAMILIES MATTER OF RI COUNSELING AND CONSULTATION, LLC |
| Entity type: | Organization |
| Organization Name: | FAMILIES MATTER OF RI COUNSELING AND CONSULTATION, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CO-OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | LAVINIA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | VELAZQUEZ |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 401-617-8489 |
| Mailing Address - Street 1: | 1643 WARWICK AVE STE 200 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | WARWICK |
| Mailing Address - State: | RI |
| Mailing Address - Zip Code: | 02889-1525 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 401-617-8489 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1645 WARWICK AVE STE 220 |
| Practice Address - Street 2: | |
| Practice Address - City: | WARWICK |
| Practice Address - State: | RI |
| Practice Address - Zip Code: | 02889-1523 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 401-617-8489 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2024-10-03 |
| Last Update Date: | 2024-10-03 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |