Provider Demographics
NPI:1639154735
Name:AREL, PATRICIA (LMHC,LCDP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:AREL
Suffix:
Gender:F
Credentials:LMHC,LCDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 BULLOCKS POINT AVE
Mailing Address - Street 2:SUITE 205 B
Mailing Address - City:RIVERSIDE
Mailing Address - State:RI
Mailing Address - Zip Code:02915-5336
Mailing Address - Country:US
Mailing Address - Phone:401-270-1824
Mailing Address - Fax:401-270-1824
Practice Address - Street 1:205 BULLOCKS POINT AVE
Practice Address - Street 2:SUITE 205 B
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-5336
Practice Address - Country:US
Practice Address - Phone:401-270-1824
Practice Address - Fax:401-270-1824
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-12
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILCDP 00290101YA0400X
RIMHC 00181101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI62-50200OtherUBH
RI410331OtherBLUE CHIP
RI21491-9OtherBLUE CROSS
RIPA55762Medicaid
RIPA32211Medicaid