Provider Demographics
NPI:1033972930
Name:CAWLEY, KATHLEEN MCNAUGHTAN (LMHC-A)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:MCNAUGHTAN
Last Name:CAWLEY
Suffix:
Gender:F
Credentials:LMHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 CARRINGTON AVE # 1
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-1606
Mailing Address - Country:US
Mailing Address - Phone:802-522-5352
Mailing Address - Fax:
Practice Address - Street 1:501 WAMPANOAG TRL UNIT 400
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-1507
Practice Address - Country:US
Practice Address - Phone:401-785-0040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-02
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
RIMHC00177-A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health