Provider Demographics
NPI:1700071503
Name:SAVIANO, ERIKA LYNN (MA, CAGS, LMHC)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:LYNN
Last Name:SAVIANO
Suffix:
Gender:F
Credentials:MA, CAGS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 CONSTITUTION ST
Mailing Address - Street 2:2
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-2121
Mailing Address - Country:US
Mailing Address - Phone:401-440-1848
Mailing Address - Fax:
Practice Address - Street 1:3047 E MAIN RD
Practice Address - Street 2:SUITE 7A
Practice Address - City:PORTSMOUTH
Practice Address - State:RI
Practice Address - Zip Code:02871-4262
Practice Address - Country:US
Practice Address - Phone:401-440-1848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-14
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00443101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIES72968Medicaid