Healthcare Provider Details

I. General information

NPI: 1609713502
Provider Name (Legal Business Name): BETHANY CATHERINE VOTTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 N MAIN ST FL 5
ATTLEBORO MA
02703-2282
US

IV. Provider business mailing address

40 BALLOU ST
CUMBERLAND RI
02864-2031
US

V. Phone/Fax

Practice location:
  • Phone: 508-663-3852
  • Fax:
Mailing address:
  • Phone: 401-430-6524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: