Provider Demographics
NPI:1295710267
Name:PARENTE, ANTHONY (LMHC)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:PARENTE
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BETSEY WILLIAMS DR
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02905-2702
Mailing Address - Country:US
Mailing Address - Phone:401-280-9436
Mailing Address - Fax:
Practice Address - Street 1:14 BETSEY WILLIAMS DR
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02905-2702
Practice Address - Country:US
Practice Address - Phone:401-280-9436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-13
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00201101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
26634-7OtherBC/BS
RI410797OtherBLUECHIP
RIAP35013Medicaid