Provider Demographics
NPI:1689406209
Name:UYISABYE, AMINA V (MHC)
Entity type:Individual
Prefix:
First Name:AMINA
Middle Name:V
Last Name:UYISABYE
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:AMINA
Other - Middle Name:
Other - Last Name:UYISABYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 BOOTH POND WAY APT 112
Mailing Address - Street 2:
Mailing Address - City:NORTH SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02896-8284
Mailing Address - Country:US
Mailing Address - Phone:401-241-9221
Mailing Address - Fax:
Practice Address - Street 1:651 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02744-1008
Practice Address - Country:US
Practice Address - Phone:401-241-9221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health