Healthcare Provider Details

I. General information

NPI: 1750866638
Provider Name (Legal Business Name): MEGAN CORDEIRO FERREIRA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2018
Last Update Date: 09/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 WATERMAN AVE
EAST PROVIDENCE RI
02914-1729
US

IV. Provider business mailing address

12 ALMEIDA DR
WARREN RI
02885-2902
US

V. Phone/Fax

Practice location:
  • Phone: 401-434-4999
  • Fax:
Mailing address:
  • Phone: 401-297-1712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC00985
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: