Healthcare Provider Details

I. General information

NPI: 1609713536
Provider Name (Legal Business Name): MRS. ERIN KATHLEEN PERRON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 SPRING GROVE RD
CHEPACHET RI
02814-4434
US

IV. Provider business mailing address

7 SPRING GROVE RD
CHEPACHET RI
02814-4434
US

V. Phone/Fax

Practice location:
  • Phone: 401-474-2873
  • Fax:
Mailing address:
  • Phone: 401-474-2873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC000291
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: