Provider Demographics
NPI:1295914976
Name:DUARTE, DANIELA IAVARONE (LMHC)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:IAVARONE
Last Name:DUARTE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 MENDON RD STE 1C
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-6222
Mailing Address - Country:US
Mailing Address - Phone:401-680-9900
Mailing Address - Fax:
Practice Address - Street 1:655 MENDON RD STE 1C
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-6222
Practice Address - Country:US
Practice Address - Phone:401-680-9900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-30
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00500101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI30343OtherBLUE CROSS CRISIS