Healthcare Provider Details

I. General information

NPI: 1861310450
Provider Name (Legal Business Name): VICTORIA CONCETTA ANGELL LMHC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 HOPE ST
PROVIDENCE RI
02906-2001
US

IV. Provider business mailing address

13 GRANDSTAND DR
LINCOLN RI
02865-4965
US

V. Phone/Fax

Practice location:
  • Phone: 401-331-1350
  • Fax: 401-277-3385
Mailing address:
  • Phone: 401-331-1350
  • Fax: 401-277-3385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC00522-A
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: