Provider Demographics
NPI:1972097962
Name:MALAVE, JOCELYN (LMHC)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:MALAVE
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 CHILD ST APT 1
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:RI
Mailing Address - Zip Code:02885-1870
Mailing Address - Country:US
Mailing Address - Phone:401-426-2347
Mailing Address - Fax:
Practice Address - Street 1:18 GOODING AVE
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:RI
Practice Address - Zip Code:02809-2610
Practice Address - Country:US
Practice Address - Phone:401-426-2347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-21
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC01818101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9118772604OtherUNITED HEALTH CARE