Provider Demographics
NPI:1497976757
Name:FIORAVANTI, BARBARA (LCDP/LMHC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:FIORAVANTI
Suffix:
Gender:F
Credentials:LCDP/LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 BACON STREET
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860
Mailing Address - Country:US
Mailing Address - Phone:401-722-3560
Mailing Address - Fax:401-724-3120
Practice Address - Street 1:101 BACON STREET
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860
Practice Address - Country:US
Practice Address - Phone:401-722-3560
Practice Address - Fax:401-724-3120
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILMHC101YM0800X
RILCDP00070101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI62-12328OtherUNITED BEHAVIORAL HEALTH
RIBF41007Medicaid
RI30342OtherBLUE CROSS SUBSTANCE ABUS