Provider Demographics
NPI:1679450092
Name:GONZALEZ COUNSELING LLC
Entity type:Organization
Organization Name:GONZALEZ COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:NOE
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-757-0057
Mailing Address - Street 1:959 MINERAL SPRING AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-4934
Mailing Address - Country:US
Mailing Address - Phone:401-757-0057
Mailing Address - Fax:
Practice Address - Street 1:959 MINERAL SPRING AVE STE 1
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-4934
Practice Address - Country:US
Practice Address - Phone:401-757-0057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health