Healthcare Provider Details

I. General information

NPI: 1396814059
Provider Name (Legal Business Name): WILLIAM E. LANCELLOTTI JR. LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3970 POST RD STE 3
WARWICK RI
02886-9235
US

IV. Provider business mailing address

19 CRESTON WAY
WARWICK RI
02886-9407
US

V. Phone/Fax

Practice location:
  • Phone: 401-741-1700
  • Fax:
Mailing address:
  • Phone: 401-741-1700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC1448
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: