Provider Demographics
NPI:1235438862
Name:DAYOTAS, ANDREA MARIE (LMHC, LADC, LSWA)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:MARIE
Last Name:DAYOTAS
Suffix:
Gender:F
Credentials:LMHC, LADC, LSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 OLD WESTBORO RD
Mailing Address - Street 2:
Mailing Address - City:NORTH GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01536-2005
Mailing Address - Country:US
Mailing Address - Phone:401-323-1282
Mailing Address - Fax:
Practice Address - Street 1:400 BALD HILL RD STE 517
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-6100
Practice Address - Country:US
Practice Address - Phone:401-732-1500
Practice Address - Fax:401-738-1085
Is Sole Proprietor?:No
Enumeration Date:2011-03-22
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00634101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health