Healthcare Provider Details

I. General information

NPI: 1669340600
Provider Name (Legal Business Name): GIANNA MONACO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4705 OLD POST RD
CHARLESTOWN RI
02813-1841
US

IV. Provider business mailing address

8 SPRING ST # A
NEWPORT RI
02840-2926
US

V. Phone/Fax

Practice location:
  • Phone: 401-364-7705
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: