Healthcare Provider Details

I. General information

NPI: 1457284564
Provider Name (Legal Business Name): DELYANI COUNSELING AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

196 COTTAGE ST
PAWTUCKET RI
02860-3004
US

IV. Provider business mailing address

196 COTTAGE ST
PAWTUCKET RI
02860-3004
US

V. Phone/Fax

Practice location:
  • Phone: 401-388-4061
  • Fax:
Mailing address:
  • Phone: 401-388-4061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN DELYANI
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: LMHC, LCDP, CADC
Phone: 401-378-6874