Provider Demographics
NPI:1700815040
Name:LACOSTE-HAMEL, CATHERINE L (APRN, BC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:L
Last Name:LACOSTE-HAMEL
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1082 DAVOL ST
Mailing Address - Street 2:ARBOUR COUNSELING SERVICES
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720
Mailing Address - Country:US
Mailing Address - Phone:508-678-2388
Mailing Address - Fax:
Practice Address - Street 1:1082 DAVOL ST
Practice Address - Street 2:ARBOUR COUNSELING SERVICES
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720
Practice Address - Country:US
Practice Address - Phone:508-678-2388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPNS00006364SP0807X
CT003703364SP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI30172-5OtherBLUE CROSS
RI407841OtherBLUE CHIP
CT004037032Medicaid
RI62-01668OtherUNITED BEHAVIORAL HEALTH
CT004037032Medicaid