TAVIS CARTER LCDP NPI 1700071701

NPI Information

NPI: 1700071701
Provider Name: TAVIS CARTER, LCDP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
530 N MAIN ST
PROVIDENCE, RI
ZIP 02904
Phone: (401) 274-2500
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Tavis Carter, LCDP is an addiction (substance use disorder) counselor in Providence, RI. Tavis Carter, LCDP NPI is 1700071701. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

530 N MAIN ST
PROVIDENCE, RI
ZIP 02904-762
Phone: (401) 274-2500

The enumeration date for this NPI number is 9/12/2007 and was last updated on 3/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCDP00206	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1104847946	OTHER	RHODE ISLAND	THE PROVIDENCE CENTER NPI
2	TC68351	MEDICAID	RHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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