Provider Demographics
NPI:1801272018
Name:REGAN, KIERA LYNN (LMHC)
Entity type:Individual
Prefix:MRS
First Name:KIERA
Middle Name:LYNN
Last Name:REGAN
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 1:372 NEW MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-3733
Mailing Address - Country:US
Mailing Address - Phone:401-338-9450
Mailing Address - Fax:
Practice Address - Street 1:372 NEW MEADOW RD
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-3733
Practice Address - Country:US
Practice Address - Phone:401-338-9450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00407101YM0800X
RI65727101YS0200X
MA472836101YS0200X
HISL007415101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool