Provider Demographics
NPI:1174537955
Name:DESMARAIS TOUPIN, FELICIA A (MA LCDP LCMHC)
Entity type:Individual
Prefix:MS
First Name:FELICIA
Middle Name:A
Last Name:DESMARAIS TOUPIN
Suffix:
Gender:F
Credentials:MA LCDP LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 GOODING AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-2605
Mailing Address - Country:US
Mailing Address - Phone:401-254-5000
Mailing Address - Fax:
Practice Address - Street 1:610 WAMPANOAG TRL
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-1504
Practice Address - Country:US
Practice Address - Phone:401-431-9870
Practice Address - Fax:401-438-1957
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILCDP00175101YA0400X
RIMHC00212101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI411889OtherBLUE CHIP
RI240619OtherBLUE CROSS
RI6202939OtherUBH
RIFD16082Medicaid