MEDICARE: AMAYA COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1104715267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMAYA COUNSELING LLC

Provider Business Mailing Address
First Line	:	1006 CHARLES ST STE 5
Second Line	:
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02904-5075
Country	:	US
Telephone Number	:	401-441-4125
Fax Number	:	856-416-7305

Provider Business Practice Location Address
First Line	:	1006 CHARLES ST STE 5
Second Line	:
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02904-5075
Country	:	US
Telephone Number	:	401-441-4125
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROSA AMAYA
Credential	:	LCSW
Telephone Number	:	401-441-4125

Provider Enumeration Date	:	07/01/2025
Last Update Date	:	08/26/2025

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Directions to “AMAYA COUNSELING LLC ” Practice Location

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