Individual
LISA C AFONSO LYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
621 DEXTER ST, CENTRAL FALLS, RI 02863-2603
(401) 721-9200
Mailing address
621 DEXTER ST, CENTRAL FALLS, RI 02863-2603
(401) 721-9200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00418
RI
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092
EI NHPRC
RI
01
—
292177
EI BLUE CROSS
RI
01
—
412296
EI BCHIP
RI
01
—
6400144
EI UHP
RI
05
—
ES01788
—
RI
Enumeration date
09/20/2006
Last updated
06/10/2009
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