Provider Demographics
NPI:1801050794
Name:CUMMINS, CATHERINE (MA, CAGS, LMHC)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:CUMMINS
Suffix:
Gender:F
Credentials:MA, CAGS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 BROADWAY OFC 2
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-3018
Mailing Address - Country:US
Mailing Address - Phone:401-371-6800
Mailing Address - Fax:401-400-7154
Practice Address - Street 1:222 BROADWAY OFC 2
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-3018
Practice Address - Country:US
Practice Address - Phone:401-371-6800
Practice Address - Fax:401-400-7154
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00366101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health