Healthcare Provider Details

I. General information

NPI: 1750695276
Provider Name (Legal Business Name): PATRICIA ABU-RAYA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 10/10/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N MAIN ST
FALL RIVER MA
02720-2130
US

IV. Provider business mailing address

405 W CLINTON ST
NEW BEDFORD MA
02740-2429
US

V. Phone/Fax

Practice location:
  • Phone: 508-678-2833
  • Fax:
Mailing address:
  • Phone: 774-279-3194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: