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General NPI Number Information
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NPI Number | 1881732428
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Entity Type | Individual
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Provider Name | RAI AMETHYST EURY LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/04/2007
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 186 PROVIDENCE ST
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City | WEST WARWICK
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State | RI
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Zip | 02893-2508
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Country | US
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Telephone | 401-767-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 186 PROVIDENCE ST
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City | WEST WARWICK
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State | RI
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Zip | 02893-2508
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.185000
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2202639-TRNE
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2410293
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW04206
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License Number State | RI
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