Provider Demographics
NPI:1821144999
Name:DELOMBA, ANNE M (LMHC)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:M
Last Name:DELOMBA
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 1:41 RESIDENTIAL LN
Mailing Address - Street 2:
Mailing Address - City:BLACKSTONE
Mailing Address - State:MA
Mailing Address - Zip Code:01504-1224
Mailing Address - Country:US
Mailing Address - Phone:401-644-4482
Mailing Address - Fax:
Practice Address - Street 1:754 BRANCH AVE STE 8
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-2245
Practice Address - Country:US
Practice Address - Phone:774-688-2659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5386101YM0800X
RIMHC 00470101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health