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Individual

MICHELLE MARIE O'ROURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 276-4130
Mailing address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 276-4100

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101Y00000X
RI
101YM0800X
Mental Health Counselor
Primary
MHC020007
RI
101YM0800X
Mental Health Counselor
Primary
MHC02007
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MHC00319-A
ASSOCIATE LICENSE
RI
Enumeration date
03/31/2020
Last updated
02/17/2026
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