Healthcare Provider Details

I. General information

NPI: 1134457989
Provider Name (Legal Business Name): JO-ANN PETRUCCI ANDREWS MA, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2009
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 SOCIAL ST STE 430
WOONSOCKET RI
02895-3218
US

IV. Provider business mailing address

57 OLD DANIELSON PIKE
FOSTER RI
02825-1458
US

V. Phone/Fax

Practice location:
  • Phone: 401-714-2507
  • Fax:
Mailing address:
  • Phone: 401-714-2507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC00452
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberMHC00452
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMHC00452
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: