Provider Demographics
NPI:1427919091
Name:SIDNEY, GAIL (LMHC)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:SIDNEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1762 LOUISQUISSET PIKE RM 1321
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-4513
Mailing Address - Country:US
Mailing Address - Phone:401-217-9114
Mailing Address - Fax:
Practice Address - Street 1:1762 LOUISQUISSET PIKE RM 1321
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-4513
Practice Address - Country:US
Practice Address - Phone:401-217-9114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-21
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC01944101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health