| Beverly Fairhurst, MA, LCMHC, LCDP | |
|
610 Wampanoag Trl, East Providence, RI 02915-1504 | |
| (401) 431-9870 | |
| (401) 435-7486 |
| Full Name | Beverly Fairhurst |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 610 Wampanoag Trl, East Providence, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992780449 | NPI | - | NPPES |
| 406396 | Other | RI | BLUE CHIP |
| BF15322 | Medicaid | RI | |
| 30016-6 | Other | RI | BLUE CROSS |
| 62-34366 | Other | RI | UNITED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00027 (Rhode Island) | Primary |
| 101YM0800X | Counselor - Mental Health | 80 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Fairhurst, MA, LCMHC, LCDP 7 Rocco Ave, Pawtucket, RI 02860-5822 Ph: (401) 725-2278 | Beverly Fairhurst, MA, LCMHC, LCDP 610 Wampanoag Trl, East Providence, RI 02915-1504 Ph: (401) 431-9870 |
Ms. Casey Carney Gallagher, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 400 Warren Ave Ste 2l-a, East Providence, RI 02914 Phone: 401-305-0080 Fax: 401-574-2033 | |
Nicole Camille Green, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 33 Arthur Ave Apt 20, East Providence, RI 02914 Phone: 401-451-1651 | |
Mr. Nathan C Finnigan, LCDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Waterman Ave Ste 1, East Providence, RI 02914 Phone: 401-434-4999 Fax: 401-434-6116 | |
Meredith Carter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Arthur Ave Apt 11, East Providence, RI 02914 Phone: 603-560-7631 | |
Teresa M Frias, M.A., L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 N Broadway, East Providence, RI 02914 Phone: 401-434-2920 | |
Elliott Butcher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Vine St, East Providence, RI 02914 Phone: 917-498-1876 | |
Emilie Rebelo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 N Broadway, East Providence, RI 02914 Phone: 401-561-7487 |