SearchRhode Island101YM0800X

Beverly Fairhurst, M.A., LCMHC, LCDP

NPI 1992780449 · on the registry since 2005

Practice

Address
610 Wampanoag Trl
East Providence, RI 02915
Phone
(401) 431-9870
Fax
(401) 435-7486
Clinicians at this address
6

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island