Michael Heffernan in Cranston - Addiction (substance Use Disorder)

Michael Heffernan - NPI 1588738603

Michael Heffernan is a Addiction (substance Use Disorder) in Cranston, Rhode Island. Michael Heffernan practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Michael Heffernan is 1588738603. The last update date is 2007-07-08.

Michael Heffernan's current location address is 41 Norman Ave, Cranston, Rhode Island. You can contact this provider via phone number 4019410804. The mailing address for Michael Heffernan is 41 Norman Ave, Cranston, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Heffernan
Address 41 Norman Ave, Cranston, Rhode Island
Phone Number 4019410804
Fax Number
Sole Proprietor Y
Credentials LICSW, LCD

NPI Number Detail

NPI Number 1588738603
Provider Enumeration Date 2006-11-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 41 Norman Ave
City Cranston
State Rhode Island (RI)
Post Code 29105812
Phone Number 4019410804
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LCDP 00193
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
205032 RI RI BLUECROSS-BLUECHIP
62-52319 RI UNITEDBEHAVIORALHEALTH
23588-4 RI RI BLUECROSS-BLUESHIELD

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FAQs about Michael Heffernan

What is the unique 10-digit identification code issued to Michael Heffernan by the Centers for Medicare & Medicaid Services?

The Michael Heffernan has been assigned the NPI (National Provider Identifier) 1588738603 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Michael Heffernan?

The Michael Heffernan is situated at 41 Norman Ave, in the city of Cranston, state of RI, with the zip code 29105812.

What is Michael Heffernan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Michael Heffernan is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

When did the Michael Heffernan receive its 1588738603?

The Michael Heffernan was issued its 1588738603 on 2006-11-20, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Michael Heffernan last refreshed?

The information related to the Michael Heffernan, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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