Healthcare Provider Details

I. General information

NPI: 1467213306
Provider Name (Legal Business Name): MICHAEL KERR LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 TOLL GATE RD STE 300
WARWICK RI
02886-4416
US

IV. Provider business mailing address

1023 POST RD
WARWICK RI
02888-3363
US

V. Phone/Fax

Practice location:
  • Phone: 401-467-0333
  • Fax: 401-467-3917
Mailing address:
  • Phone: 401-773-7116
  • Fax: 401-773-7106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC01568
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: