Healthcare Provider Details

I. General information

NPI: 1841119104
Provider Name (Legal Business Name): KATHERINE ELIOT OWEN LMFTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2756 POST RD
WARWICK RI
02886-3077
US

IV. Provider business mailing address

73 GARDEN ST
CRANSTON RI
02910-2007
US

V. Phone/Fax

Practice location:
  • Phone: 401-691-6000
  • Fax:
Mailing address:
  • Phone: 207-745-1893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT00051-A
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: