Provider Demographics
NPI:1184237570
Name:HOWARD, DENISE MARIE (LCDP)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LCDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ANN ST
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02889-5312
Mailing Address - Country:US
Mailing Address - Phone:401-954-0146
Mailing Address - Fax:
Practice Address - Street 1:82 POND ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-4462
Practice Address - Country:US
Practice Address - Phone:401-727-1287
Practice Address - Fax:401-727-1289
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICDP00219101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)