Provider Demographics
NPI:1275977597
Name:ADAMS, LYNNE A (LMHC)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:A
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 THUNDER TRL
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02921-2564
Mailing Address - Country:US
Mailing Address - Phone:401-474-0840
Mailing Address - Fax:401-490-3569
Practice Address - Street 1:390 TOLL GATE RD STE 206
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4351
Practice Address - Country:US
Practice Address - Phone:401-365-4209
Practice Address - Fax:401-490-3569
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-18
Last Update Date:2022-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00559101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health