Provider Demographics
NPI:1487839262
Name:KOINIS, REEM (MA)
Entity type:Individual
Prefix:
First Name:REEM
Middle Name:
Last Name:KOINIS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BRIAR LN
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02881-1402
Mailing Address - Country:US
Mailing Address - Phone:802-495-8133
Mailing Address - Fax:703-991-6424
Practice Address - Street 1:27 BRIAR LN
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:RI
Practice Address - Zip Code:02881-1402
Practice Address - Country:US
Practice Address - Phone:802-495-8133
Practice Address - Fax:703-991-6424
Is Sole Proprietor?:No
Enumeration Date:2007-12-30
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
VT068.0127349101YM0800X
RIMHC01577101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health