IndividualActive
Bruce Beattie, LCDP
NPI 1306094164 · Addiction (Substance Use Disorder) Counselor · Providence, RI
Provider details
- NPI number
- 1306094164
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LCDP
- Sex
- Male
- Sole proprietor
- No
- License
- LCDP00165 (RI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
530 N Main St
Providence, RI 02904-5762
Phone: (401) 274-2500
Approximate (ZIP-level) locationGet directions
Mailing address
528 N Main St
Providence, RI 02904-5757
Registry dates
- Enumerated
- 2008-09-05
- Last updated
- 2009-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.