Healthcare Provider Details
I. General information
NPI: 1023527520
Provider Name (Legal Business Name): RASHEED AKINFOLARIN LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/27/2017
Last Update Date: 12/14/2022
Certification Date: 12/14/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
154 MAIN ST STE 2
WOONSOCKET RI
02895-4368
US
IV. Provider business mailing address
52 OAK ST
MIDDLEBORO MA
02346-2078
US
V. Phone/Fax
- Phone: 401-999-8181
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | MHC01434 |
| License Number State | RI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: