MEDICARE: MICHELE E DRISLANE LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MHC01005	RI

General Provider Information

NPI Number	:	1801445325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE E DRISLANE LMHC

Provider Business Mailing Address
First Line	:	1526 ATWOOD AVE
Second Line	:
City	:	JOHNSTON
State	:	RI
Zip	:	02919-3289
Country	:	US
Telephone Number	:	617-875-8987
Fax Number	:	401-223-9613

Provider Business Practice Location Address
First Line	:	1526 ATWOOD AVE
Second Line	:
City	:	JOHNSTON
State	:	RI
Zip	:	02919-3289
Country	:	US
Telephone Number	:	401-246-7090
Fax Number	:	401-223-9613

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2019
Last Update Date	:	01/22/2026

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Directions to “ MICHELE E DRISLANE LMHC” Practice Location

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