A'Vant-Fowler, Catherine

A'Vant-Fowler, Catherine is an individual health care provider with primary practice located at 530 N Main St , Providence RI 02904-5762. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. A'Vant-Fowler, Catherine can be contacted via phone (401) 274-2500.

Contact Information

Primary practice address
530 N Main St Providence RI 02904-5762
Phone: (401) 274-2500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDP00163 Rhode Island
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC00335 Rhode Island

Profile Details

NPI number 1265446264
LBN Legal business name A'Vant-Fowler, Catherine
Credentials LMHC, LCDP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Nov 15th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265446264 NPPES
Rhode Island MEDICAID CA55331
Rhode Island Other 1104847946
Rhode Island Other 414649
Rhode Island Other 62-89732
Rhode Island Other 33268-0

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