Provider Demographics
NPI:1932309598
Name:ADAMS, KELLY K (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:K
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:303 JAMES TRL
Mailing Address - Street 2:
Mailing Address - City:WEST KINGSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02892-1752
Mailing Address - Country:US
Mailing Address - Phone:401-864-3311
Mailing Address - Fax:401-287-2189
Practice Address - Street 1:426 SCRABBLETOWN RD LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-3664
Practice Address - Country:US
Practice Address - Phone:401-864-3311
Practice Address - Fax:401-287-2189
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00427101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health