Healthcare Provider Details

I. General information

NPI: 1083524979
Provider Name (Legal Business Name): SYDNEY ROSE RESENDES MS, LMHC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 WASHINGTON ST
WEST WARWICK RI
02893-5176
US

IV. Provider business mailing address

215 WASHINGTON ST
WEST WARWICK RI
02893-5176
US

V. Phone/Fax

Practice location:
  • Phone: 401-578-0426
  • Fax:
Mailing address:
  • Phone: 401-578-0426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMHC00532
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: