Individual
MELISSA LAVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58 HIGHLAND LAKE RD, CHEPACHET, RI 02814-1493
(401) 484-1820
Mailing address
194 WATERMAN ST, PROVIDENCE, RI 02906-4015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MHC01697
RI
Other
Enumeration date
06/24/2022
Last updated
08/01/2025
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