Provider Demographics
NPI:1326115346
Name:CHENETTE, MELANIE (LPC, LMHC, ATR-BC)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:CHENETTE
Suffix:
Gender:F
Credentials:LPC, LMHC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 OAK RD
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-5515
Mailing Address - Country:US
Mailing Address - Phone:860-455-6444
Mailing Address - Fax:
Practice Address - Street 1:16 HIGH ST
Practice Address - Street 2:BROWN BLDG,, 2ND FLOOR, OFC. 6
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-1985
Practice Address - Country:US
Practice Address - Phone:401-207-2212
Practice Address - Fax:401-596-1826
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001889101YP2500X
RIMCH00513101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health