Provider Demographics
NPI:1881322337
Name:O'HORO, THOMAS THEODORE (MA, LCDP, CADC,CPRS)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:THEODORE
Last Name:O'HORO
Suffix:
Gender:M
Credentials:MA, LCDP, CADC,CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 MEADOWBROOK RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:RI
Mailing Address - Zip Code:02898-1110
Mailing Address - Country:US
Mailing Address - Phone:774-501-7132
Mailing Address - Fax:
Practice Address - Street 1:2348 POST RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2258
Practice Address - Country:US
Practice Address - Phone:401-681-4637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICDP00893101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)