Provider Demographics
NPI:1285951046
Name:COREY, ALI KYLE (LMHC)
Entity type:Individual
Prefix:DR
First Name:ALI
Middle Name:KYLE
Last Name:COREY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ALI
Other - Middle Name:KYLE
Other - Last Name:WOLF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:89 KICKEMUIT AVE
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-4406
Mailing Address - Country:US
Mailing Address - Phone:401-678-8365
Mailing Address - Fax:
Practice Address - Street 1:42 VALLEY RD STE 3C
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-6376
Practice Address - Country:US
Practice Address - Phone:401-842-0009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00832101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional