Provider Demographics
NPI:1750062436
Name:RASA LILA COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:RASA LILA COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:COFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:401-206-0493
Mailing Address - Street 1:23 NORTH ROAD
Mailing Address - Street 2:SUITE A-28 IN BUILDING A
Mailing Address - City:SOUTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02879-2334
Mailing Address - Country:US
Mailing Address - Phone:401-206-0493
Mailing Address - Fax:
Practice Address - Street 1:23 NORTH RD STE A28
Practice Address - Street 2:
Practice Address - City:SOUTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02879-8108
Practice Address - Country:US
Practice Address - Phone:401-206-0493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-26
Last Update Date:2023-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty