Provider Demographics
NPI:1265458541
Name:DALPHONSE, LEE ANTHONY (LMHC, LCDS, CCMHC)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:ANTHONY
Last Name:DALPHONSE
Suffix:
Gender:M
Credentials:LMHC, LCDS, CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 COLLEGE HILL RD STE 30E
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2767
Mailing Address - Country:US
Mailing Address - Phone:401-821-6070
Mailing Address - Fax:401-821-6047
Practice Address - Street 1:33 COLLEGE HILL RD STE 30E
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2767
Practice Address - Country:US
Practice Address - Phone:401-821-6070
Practice Address - Fax:401-821-6047
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICDS00011101YA0400X
MA8760101YM0800X
RIMHC00072101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI2663700OtherCIGNA
RI6220635OtherUNITED HEALTH
RI1265458541OtherBEACON HEALTH STRATEGIES/ NHP OF RHODE ISLAND
RI406370OtherBLUE CHIP
RILD07041Medicaid
RI0000030457OtherBLUE CROSS
RI1265458541OtherTUFTS
RI9377291OtherAETNA