Tavis Carter in Providence - Addiction (substance Use Disorder)

Tavis Carter - NPI 1700071701

Tavis Carter is a Addiction (substance Use Disorder) in Providence, Rhode Island. Tavis Carter practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Tavis Carter is 1700071701. The last update date is 2009-03-27.

Tavis Carter's current location address is 530 N Main St, Providence, Rhode Island. You can contact this provider via phone number 4012742500. The mailing address for Tavis Carter is 530 N Main St, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Tavis Carter
Address 530 N Main St, Providence, Rhode Island
Phone Number 4012742500
Fax Number
Sole Proprietor N
Credentials LCDP

NPI Number Detail

NPI Number 1700071701
Provider Enumeration Date 2007-09-12
Last Updated Date 2009-03-27

Provider Mailing Address Detail

Address 530 N Main St
City Providence
State Rhode Island (RI)
Post Code 29045762
Phone Number 4012742500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LCDP00206
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
TC68351 RI --
1104847946 RI THE PROVIDENCE CENTER NPI

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FAQs about Tavis Carter

What is the unique identifier code issued to Tavis Carter by the Centers for Medicare & Medicaid Services (CMS)?

The Tavis Carter has been assigned the NPI (National Provider Identifier) 1700071701. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Tavis Carter is physically located?

The Tavis Carter is situated at the following address: 530 N Main St, Providence, RI 29045762.

What is the area of specialization for Tavis Carter, and what is the corresponding taxonomy classification code for this field?

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

On what date did the Centers for Medicare & Medicaid Services assign the 1700071701 to Tavis Carter?

The Centers for Medicare & Medicaid Services assigned the 1700071701 to Tavis Carter on 2007-09-12.

As of what date were the Tavis Carter's details last updated?

The information pertaining to the Tavis Carter, including its address, specialty, and other details, was most recently updated on 2009-03-27.

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