Provider Demographics
NPI:1285668681
Name:HOWARD, OLIVIA M (LMFT)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:M
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 NEWMAN AVE
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916-1218
Mailing Address - Country:US
Mailing Address - Phone:401-225-0458
Mailing Address - Fax:401-431-0027
Practice Address - Street 1:225 NEWMAN AVE
Practice Address - Street 2:
Practice Address - City:RUMFORD
Practice Address - State:RI
Practice Address - Zip Code:02916-1218
Practice Address - Country:US
Practice Address - Phone:401-225-0458
Practice Address - Fax:401-431-0027
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMFT00072106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1035520OtherNHP OF RI
RI62-40329OtherUNITED BEHAVIORAL HEALTH
RI409914OtherBLUE CHIP
RIOH51952Medicaid
RI26722-3OtherBLUE CROSS
RIOH45548Medicaid
RI1104847946OtherTHE PROVIDENCE CENTER NPI