Catherine A'vant-fowler, LMHC, LCDP | |
530 N Main St, Providence, RI 02904-5762 | |
(401) 274-2500 | |
Not Available |
Full Name | Catherine A'vant-fowler |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 530 N Main St, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265446264 | NPI | - | NPPES |
CA55331 | Medicaid | RI | |
1104847946 | Other | RI | THE PROVIDENCE CENTER NPI |
414649 | Other | RI | B.CHIP |
62-89732 | Other | RI | UNITED BEHAVIORAL HEALTH |
33268-0 | Other | RI | B.CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDP00163 (Rhode Island) | Secondary |
101YM0800X | Counselor - Mental Health | MHC00335 (Rhode Island) | Primary |
Entity Name | The Providence Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104847946 PECOS PAC ID: 9739080292 Enrollment ID: O20040116000840 |
Mailing Address | Practice Location Address |
---|---|
Catherine A'vant-fowler, LMHC, LCDP 528 N Main St, Providence, RI 02904-5757 Ph: () - | Catherine A'vant-fowler, LMHC, LCDP 530 N Main St, Providence, RI 02904-5762 Ph: (401) 274-2500 |
Olivia Meunier, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-274-2500 | |
Mr. Brian P Shea, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Park Row W, #426, Providence, RI 02903 Phone: 617-455-2788 | |
Alisha Choquette, AA, ACDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Burnett St, Providence, RI 02907 Phone: 401-785-0050 Fax: 401-941-0089 | |
Betsy Riccio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 River Ave, Providence, RI 02908 Phone: 401-465-1955 | |
Miss Ashley L Addison, BA, LCDP, CCSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4100 | |
Jennifer Ortiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110 | |
Shane Lima, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110 |