Provider Demographics
NPI:1952135436
Name:ROBILLARD, JOSEPH (LMHCA)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:ROBILLARD
Suffix:
Gender:M
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1029 WESTMINSTER ST UNIT 3B
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4075
Mailing Address - Country:US
Mailing Address - Phone:401-225-9640
Mailing Address - Fax:
Practice Address - Street 1:90 JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-1060
Practice Address - Country:US
Practice Address - Phone:401-484-1356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00244-A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health