Provider Demographics
NPI:1508599101
Name:QUINN, KIEL (LMHC)
Entity Type:Individual
Prefix:MR
First Name:KIEL
Middle Name:
Last Name:QUINN
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 1:175 NATE WHIPPLE HIGHWAY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-1423
Mailing Address - Country:US
Mailing Address - Phone:401-405-0700
Mailing Address - Fax:404-405-0766
Practice Address - Street 1:175 NATE WHIPPLE HIGHWAY
Practice Address - Street 2:SUITE 202
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-1423
Practice Address - Country:US
Practice Address - Phone:401-405-0700
Practice Address - Fax:404-405-0766
Is Sole Proprietor?:No
Enumeration Date:2022-07-01
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMNC01623101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health