Benevides, Michael

Benevides, Michael is an individual health care provider with primary practice located at 1070 Main St , Pawtucket RI 02860-4847. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Benevides, Michael can be contacted via phone (401) 727-6413.

Contact Information

Primary practice address
1070 Main St Pawtucket RI 02860-4847
Phone: (401) 727-6413
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC00032 Rhode Island

Profile Details

NPI number 1780605303
LBN Legal business name Benevides, Michael
Credentials LMHC, LCDP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Nov 27th, 2007 - about 17 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 1780605303 NPPES
Rhode Island Other 406347 BLUE CHIP
Rhode Island MEDICAID MB03776 BLUE CHIP
Rhode Island Other 30005-4 BLUE CHIP
Rhode Island Other 62-11281 BLUE CHIP

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