FALLON ELLEN PERREAULT


Address: 528 N Main St, Providence, RI 02904-5757
Phone: 4014622985

FALLON ELLEN PERREAULT (NPI# 1316506157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316506157
Entity Type Individual
Full Name FALLON ELLEN PERREAULT
Credential BS, BA, LCDP
Practice Address 528 N Main St
Providence
RI 02904-5757
Mailing Address 40 Arlee St
Warwick
RI 02889-3904
Practice Telephone 4014622985
Enumeration Date 2019-06-06
Last Update Date 2019-06-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 528 N MAIN ST
City PROVIDENCE
State RI
Zip Code 02904-5757

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881683985 Arnold Harvey Herman Surgery 528 N Main St, Suite 3, Providence, RI 02904-5762 2005-10-20
1881220630 John Vincent Gambino Registered Nurse 528 N Main St, Providence, RI 02904-5757 2020-03-12
1801358643 Jora Ehrlich Counselor 528 N Main St, Providence, RI 02904-5757 2019-04-02
1346709029 Stacey Leclerc Counselor 528 N Main St, Providence, RI 02904-5757 2019-03-13
1235625294 Scott David Robinson Registered Nurse 528 N Main St, Providence, RI 02904-5757 2018-07-02
1548754484 Rachel Armada Social Worker 528 N Main St, Providence, RI 02904-5770 2018-06-14
1801399449 Gail Marie Moran Registered Nurse 528 N Main St, Providence, RI 02904-5757 2018-03-09
1255830816 Vanessa Madrid Registered Nurse 528 N Main St, Providence, RI 02904-5757 2018-02-08
1619498664 Shauna Mccafferty Social Worker 528 N Main St, Providence, RI 02904-5757 2017-06-29
1265969463 Kristina Carlson Counselor 528 N Main St, Providence, RI 02904-5757 2017-05-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144792383 Lifespan Pharmacy LLC Durable Medical Equipment & Medical Supplies 180 Corliss Street, Suite A, Providence, RI 02904 2018-12-28
1780168229 Beth M. Kalunian Social Worker 480 Charles Street, Providence, RI 02904 2018-09-20
1588161608 Michael P. Johnson, Md, Inc Internal Medicine 148 W River St Ste 22b, Providence, RI 02904 2018-04-06
1780045948 Fred Saccoccio Pharmacist 15 Smithfield Road, No Providence, RI 02904 2016-03-16
1699148999 Latin Adult Day Health Care Center Clinic/Center 665 Charles Street, Providence, RI 02904 2015-11-09
1144639956 Dina P Toolin Occupational Therapist 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 2014-08-06
1801208798 Seth Clark Internal Medicine 200 Corliss St, Providence, RI 02904 2014-05-27
1134554645 Molly Elizabeth Smith Physical Therapist 1405 Douglas Ave, North Providence, RI 02904 2013-09-04
1336408723 Emad Awa Pediatrics 1 Randall Sq Ste 404, Providence, RI 02904 2012-05-07
1598036790 Joseph F. Osmanski, Od, Inc Optometrist 1971 Mineral Spring Avenue, N. Providence, RI 02904 2012-01-19
Find all providers in zip 02904

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477100808 Raisa Emilia Garcia-diaz Counselor 66 Pavilion Avenue, Providence, RI 02905 2019-08-21
1952873317 Better Care Transport LLC Counselor 448 Public St, Providence, RI 02907-1223 2018-12-26
1407234172 David Lee Russell Jr. Counselor 60 Comstock Ave, Providence, RI 02907-1206 2015-05-13
1558755082 Souad Cheteyan Counselor 315 Mount Pleasant Ave, Providence, RI 02908-3836 2015-03-23
1588081533 Nicole Ann Hutto Counselor 20 Vandieman Ave, Providence, RI 02909-5560 2014-03-27
1396050597 Daniel D Strother Counselor 66 Pavilion Ave., Providence, RI 02905 2010-08-11
1902137748 Lux Maria Taylor Counselor 662 Hartford Ave, Providence, RI 02909-5917 2010-01-19
1780805283 Marcel A Trisvan Counselor Codac Providence, 349 Huntington Ave, Providence, RI 02909 2007-05-01
1316063829 Digna Marrero Counselor 16 Borinquen St, 662 Hartford Ave., Providence, RI 02905-3202 2007-03-22
1467554634 George Edward Benedict Counselor Providence Vamc, 830 Chalkstone Avenue, Providence, RI 02908-4799 2006-09-01
Find all providers in PROVIDENCE

Competitor

Search similar providers

City PROVIDENCE
Zip Code 02904

Improve Information

Please comment or provide details below to improve the information on FALLON ELLEN PERREAULT.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches