Provider Demographics
NPI:1720808181
Name:NINA T SOARES LMHC LLC
Entity type:Organization
Organization Name:NINA T SOARES LMHC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:TAIZE
Authorized Official - Last Name:SOARES
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:774-930-6729
Mailing Address - Street 1:207 PURCHASE ST
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777-5037
Mailing Address - Country:US
Mailing Address - Phone:774-930-6729
Mailing Address - Fax:
Practice Address - Street 1:1224 W MAIN RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-6397
Practice Address - Country:US
Practice Address - Phone:774-644-0972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty