Provider Demographics
NPI:1184635500
Name:DOYLE, KELLY JANE (LCMHC)
Entity Type:Individual
Prefix:MS
First Name:KELLY
Middle Name:JANE
Last Name:DOYLE
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:JANE
Other - Last Name:GUINDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCMHC
Mailing Address - Street 1:494 ANNAQUATUCKET RD
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852
Mailing Address - Country:US
Mailing Address - Phone:401-667-7315
Mailing Address - Fax:401-348-8255
Practice Address - Street 1:494 ANNAQUATUCKET RD
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852
Practice Address - Country:US
Practice Address - Phone:401-667-7315
Practice Address - Fax:401-348-8255
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC106101YM0800X, 103T00000X
RIMHC-106101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist