Provider Demographics
NPI:1659792778
Name:RICH, CARLA MAY (LMHC)
Entity Type:Individual
Prefix:MS
First Name:CARLA
Middle Name:MAY
Last Name:RICH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PIEDMONT ST
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-2338
Mailing Address - Country:US
Mailing Address - Phone:401-862-2795
Mailing Address - Fax:401-862-5160
Practice Address - Street 1:354 BROADWAY
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02909-1434
Practice Address - Country:US
Practice Address - Phone:401-862-2795
Practice Address - Fax:401-200-8049
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-16
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00616101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health