Healthcare Provider Details

I. General information

NPI: 1548328248
Provider Name (Legal Business Name): ARLENE J ATKINS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 05/04/2021
Certification Date: 05/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 DEXTER ST
CENTRAL FALLS RI
02863-2742
US

IV. Provider business mailing address

621 DEXTER ST
CENTRAL FALLS RI
02863-2742
US

V. Phone/Fax

Practice location:
  • Phone: 401-721-9200
  • Fax: 401-729-0010
Mailing address:
  • Phone: 401-721-9200
  • Fax: 401-729-0010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC00207
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: