Provider Demographics
NPI:1114383627
Name:RHINEHART COUNSELING SERVICES
Entity type:Organization
Organization Name:RHINEHART COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TIA
Authorized Official - Middle Name:SHARMAINE
Authorized Official - Last Name:RHINEHART
Authorized Official - Suffix:
Authorized Official - Credentials:MSHSV, LADC
Authorized Official - Phone:1203-558-6306
Mailing Address - Street 1:73 MOHAWK ST APT A
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06706-1911
Mailing Address - Country:US
Mailing Address - Phone:203-558-6306
Mailing Address - Fax:203-841-1054
Practice Address - Street 1:73 MOHAWK ST APT A
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06706-1911
Practice Address - Country:US
Practice Address - Phone:203-558-6306
Practice Address - Fax:203-841-1054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001095101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008062695Medicaid