Provider Demographics
NPI:1881629608
Name:MAYER, CORA BRIGID (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:CORA
Middle Name:BRIGID
Last Name:MAYER
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 1:366 SNAKE HILL RD
Mailing Address - Street 2:
Mailing Address - City:HARRISVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02830-1872
Mailing Address - Country:US
Mailing Address - Phone:401-568-0152
Mailing Address - Fax:
Practice Address - Street 1:623 ATWELLS AVE.
Practice Address - Street 2:COMMUNITIES FOR PEOPLE, INC.
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02909
Practice Address - Country:US
Practice Address - Phone:401-273-7103
Practice Address - Fax:401-421-4608
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI00219101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health