Provider Demographics
NPI:1871794636
Name:COFFEY, DENISE (LMHC)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:COFFEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:DENISE
Other - Middle Name:
Other - Last Name:LAURITO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:47A CEDAR SWAMP RD
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02917
Mailing Address - Country:US
Mailing Address - Phone:401-830-5696
Mailing Address - Fax:401-921-4918
Practice Address - Street 1:47A CEDAR SWAMP RD
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02917
Practice Address - Country:US
Practice Address - Phone:401-830-5696
Practice Address - Fax:401-921-4918
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
RIMHC00580101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI30343OtherBLUE CROSS CRISIS