Individual provider · Type 1 NPI

Beverly Fairhurst, M.A., LCMHC, LCDP

Mental Health Counselor · East Providence, RI

NPI number 1992780449 Active

Practice location

610 Wampanoag Trl
East Providence, RI 02915-1504

Call (401) 431-9870 Map

Fax (401) 435-7486

Mailing address

7 Rocco Ave
Pawtucket, RI 02860-5822

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X00027 (RI)
Mental Health Counselor Primary 101YM0800X80 (RI)

Mental Health Counselor: Definition to come...

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About NPI 1992780449

Beverly Fairhurst, M.A., LCMHC, LCDP's National Provider Identifier is 1992780449, issued on Dec 7, 2005. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in East Providence, RI. The record was last updated on Sep 11, 2025.