Individual
MELISSA A KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
33 COLLEGE HILL RD, SUITE 30E, WARWICK, RI 02886-2776
(401) 821-6070
(401) 821-6047
Mailing address
152 SEVILLA AVE, WARWICK, RI 02889-3032
(401) 921-0997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00141
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21721-9
BC/BS OF RI
—
01
—
2190761
CIGNA
—
01
—
409279
BLUECHIP
—
01
—
62-99188
UNITED HEALTH CARE
—
Enumeration date
05/18/2006
Last updated
07/08/2007
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