Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | MHC00142 | RI |
NPI | 1003021254 |
---|---|
Provider Name | Cynthia Livsey |
First Address | West Greenwich, RI 02817-2506 |
Second Address | West Greenwich, RI 02817-2506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 08/07/2007 |