Provider Demographics
NPI:1689811549
Name:PARENTE, MICHAEL A (MS)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:A
Last Name:PARENTE
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02905-2720
Mailing Address - Country:US
Mailing Address - Phone:401-461-5555
Mailing Address - Fax:401-461-5599
Practice Address - Street 1:1704 BROAD ST
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02905-2720
Practice Address - Country:US
Practice Address - Phone:401-461-5555
Practice Address - Fax:401-461-5599
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)