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Tavis Carter, LCDP
Addiction (Substance Use Disorder) Counselor in Providence, Rhode Island
NPI 1700071701

Tavis Carter is an Addiction (Substance Use Disorder) Counselor based in Providence, RI and is specialized in Addiction (Substance Use Disorder). Tavis Carter practices in Providence, RI and has the professional credentials of LCDP. The NPI Number for Tavis Carter is 1700071701 and holds a License No. LCDP00206 (Rhode Island).

The current practice location address for Tavis Carter is 530 N Main St, Providence, RI and can be reached out via phone at 401-274-2500.

Location: 530 N Main St, Providence, RI, 02904-5757
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Provider Profile Details
NPI Number
1700071701
Provider Name
Tavis Carter
Credential
LCDP
Provider Entity Type
Individual
Gender
Male
Address
530 N Main St, Providence, RI, 02904-5757
Phone Number
401-274-2500
Fax Number
Provider Enumeration Date
09/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TC68351 05 RI
1104847946 01 RI THE PROVIDENCE CENTER NPI
institution
Provider Business Practice Location Address Details
Address
530 N Main St
City
State
Zip
02904-5762
Phone Number
401-274-2500
Fax Number
person
Provider Business Mailing Address Details
Address
530 N Main St
City
State
Zip
02904-5762
Phone Number
401-274-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCDP00206 (Rhode Island)
Definition
Definition to come...
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