JULIO EDUARDO TAVAREZ M.S.
NPI 1851901847
Counselor - Mental Health in Pawtucket, RI
Active since August 04, 2020
About Julio Eduardo Tavarez M.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JULIO EDUARDO TAVAREZ M.S. (NPI 1851901847) is an individual mental health provider in Pawtucket, Rhode Island and active in the NPI registry since August 2020. He maintains a secondary practice location in Riverside.
NPPES Registry Identity
NPI1851901847
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJULIO EDUARDO TAVAREZCredential: M.S.
Location Address105 BACON STPawtucket, RI 02860-5542
Mailing Address150 River AveProvidence, RI 02908-4732
Phone(401) 722-3560
Sole ProprietorNo
Enumeration DateAugust 4, 2020
NPPES CertifiedAugust 4, 2020
✔ NPI 1851901847 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
105 BACON ST, Pawtucket, RI 02860
Secondary Practice Location 1
Location 11011 Veterans Memorial PkwyRiverside, RI 02915-5061 · Phone (401) 432-1000
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
105 BACON ST
PAWTUCKET, RI 02860
PAWTUCKET, RI 02860
Counselor (Addiction (Substance Use Disorder))
105 BACON ST
PAWTUCKET, RI 02860
PAWTUCKET, RI 02860
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851901847, enumerated as an "individual" on August 04, 2020.
The provider is located at 105 BACON ST PAWTUCKET, RI 02860 and the phone number is (401) 722-3560.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
