1821106378 NPI number — MS. MARIANN ANDREOZZI LCMHC

Table of content: MS. MARIANN ANDREOZZI LCMHC (NPI 1821106378)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821106378 NPI number — MS. MARIANN ANDREOZZI LCMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ANDREOZZI
Provider First Name:
MARIANN
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821106378
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/24/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
105 SOCKANOSSETT CROSS RD
Provider Second Line Business Mailing Address:
ANCHOR COUNSELING
Provider Business Mailing Address City Name:
CRANSTON
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02920-6688
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-475-9979
Provider Business Mailing Address Fax Number:
401-475-9917

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
105 SOCKANOSSETT CROSS RD
Provider Second Line Business Practice Location Address:
ANCHOR COUNSELING
Provider Business Practice Location Address City Name:
CRANSTON
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02920-6688
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-475-9979
Provider Business Practice Location Address Fax Number:
401-475-9917
Provider Enumeration Date:
08/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  MHC00523 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7714Y007546NH2 . This is a "ANTHEM BLUE CROSS BLUE SH" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 8064-01 . This is a "HARVARD-PILGRIM" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".




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