Provider Demographics
NPI:1730271461
Name:MARKS, ROBERT L (LMHC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:MARKS
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 ROBERT HILL DR
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-4475
Mailing Address - Country:US
Mailing Address - Phone:401-952-5519
Mailing Address - Fax:
Practice Address - Street 1:542 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02861-5919
Practice Address - Country:US
Practice Address - Phone:401-952-5519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2025-05-20
Deactivation Date:2023-07-10
Deactivation Code:
Reactivation Date:2023-09-20
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
RIMHC00139101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI408151OtherBLUE CHIP
RIRM34535Medicaid
RI31299-0OtherBLUE CROSS
RI62-40153OtherUBH
RI1104847946OtherTHE PROVIDENCE CENTER NPI