Healthcare Provider Details

I. General information

NPI: 1831984442
Provider Name (Legal Business Name): ADRIANNA SOPHIA MELGAR MS, LMHCA, LCDP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 HEALTH LN
WARWICK RI
02886-2711
US

IV. Provider business mailing address

100 ELENA ST APT 611
CRANSTON RI
02920-4388
US

V. Phone/Fax

Practice location:
  • Phone: 401-738-4300
  • Fax:
Mailing address:
  • Phone: 401-744-0865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDP01038
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMCH00388
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: