Provider Demographics
NPI:1386069912
Name:SANDMAN, CARRIE (LMHC)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:SANDMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 HOPE ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-1224
Mailing Address - Country:US
Mailing Address - Phone:401-253-0002
Mailing Address - Fax:401-253-0003
Practice Address - Street 1:970 HOPE ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:RI
Practice Address - Zip Code:02809-1224
Practice Address - Country:US
Practice Address - Phone:401-253-0002
Practice Address - Fax:401-253-0003
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-18
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00574101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health