1285668681 NPI number — OLIVIA M HOWARD LMFT

Table of content: OLIVIA M HOWARD LMFT (NPI 1285668681)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285668681 NPI number — OLIVIA M HOWARD LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOWARD
Provider First Name:
OLIVIA
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285668681
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/25/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
225 NEWMAN AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RUMFORD
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02916-1218
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-225-0458
Provider Business Mailing Address Fax Number:
401-431-0027

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
225 NEWMAN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RUMFORD
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02916-1218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-225-0458
Provider Business Practice Location Address Fax Number:
401-431-0027
Provider Enumeration Date:
07/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  MFT00072 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1035520 . This is a "NHP OF RI" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 62-40329 . This is a "UNITED BEHAVIORAL HEALTH" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 409914 . This is a "BLUE CHIP" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: OH51952 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 26722-3 . This is a "BLUE CROSS" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: OH45548 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1104847946 . This is a "THE PROVIDENCE CENTER NPI" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".




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