Provider Demographics
NPI:1255459913
Name:MCELROY, JANET M (LMHC LMFT)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:M
Last Name:MCELROY
Suffix:
Gender:F
Credentials:LMHC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 TIFFANY AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02889-5820
Mailing Address - Country:US
Mailing Address - Phone:401-258-0034
Mailing Address - Fax:401-732-0156
Practice Address - Street 1:1116 CENTERVILLE RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4209
Practice Address - Country:US
Practice Address - Phone:401-826-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00103101YM0800X
VA07177000830106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIMHC00103OtherLICENSED MENTAL HEALTH CO
VA0717000830OtherMARRIAGE & FAMILY THER.