Active NPIIndividual providerSole proprietor

Michael Bettencourt, LCDP

Counselor, Addiction (Substance Use Disorder) in East Providence, Rhode Island

NPI Number1558767236
Practice location
850 Waterman Ave, East Providence, RI 02914-1729
Fax
—
Last updated
November 7, 2014

Michael Bettencourt is a Counselor, Addiction (Substance Use Disorder) based in East Providence, RI. Michael Bettencourt practices in East Providence, RI and has the professional credentials of LCDP. The NPI Number for Michael Bettencourt is 1558767236 and holds a License No. CDP00524 (RI). The current practice location address for Michael Bettencourt is 850 Waterman Ave, East Providence, RI 02914-1729 and can be reached out via phone at 401-434-4999.

Provider Profile Details

NPI Number
1558767236
Provider Name
Michael Bettencourt
Credential
LCDP
Provider Entity Type
Individual
Gender
Male
Address
850 Waterman Ave, East Providence, RI 02914-1729
Phone Number
401-434-4999
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
November 7, 2014
Last Update Date
November 7, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
850 Waterman Ave
East Providence, RI 02914-1729
Zip
02914-1729
Phone Number
401-434-4999
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
850 Waterman Ave
East Providence, RI 02914-1729
City
East Providence
State
RI
Zip
02914-1729
Phone Number
401-434-4999

License Information

License Number
CDP00524
License State
RI
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael Bettencourt, LCDP?

The NPI number of Michael Bettencourt, LCDP is 1558767236. It was assigned on November 7, 2014 and is currently active in the NPPES registry.

What is the specialty of Michael Bettencourt, LCDP?

Michael Bettencourt, LCDP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CDP00524.

Where does Michael Bettencourt, LCDP practice?

The practice location is 850 Waterman Ave, East Providence, RI 02914-1729. The office can be reached at 401-434-4999 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558767236 directly on the NPPES registry website.

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