Healthcare Provider Details

I. General information

NPI: 1821730433
Provider Name (Legal Business Name): AWC COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2022
Last Update Date: 04/13/2022
Certification Date: 04/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3657 POST ROAD
WARWICK RI
02886
US

IV. Provider business mailing address

216 SPENCER AVE
EAST GREENWICH RI
02818
US

V. Phone/Fax

Practice location:
  • Phone: 401-400-2506
  • Fax:
Mailing address:
  • Phone: 401-400-2506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ANDREA W COMBES
Title or Position: PRESIDENT
Credential: LMHC
Phone: 401-400-2506