Provider Demographics
NPI:1194078964
Name:TORIELLO, TAMMY
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:TORIELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 NEWTON AVE
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-1818
Mailing Address - Country:US
Mailing Address - Phone:401-480-8253
Mailing Address - Fax:
Practice Address - Street 1:6 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-3138
Practice Address - Country:US
Practice Address - Phone:401-596-5310
Practice Address - Fax:401-596-5357
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00892101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health