Provider Demographics
NPI:1285787564
Name:CONROY, CATHERINE TORRICE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:TORRICE
Last Name:CONROY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MISS
Other - First Name:CATHERINE
Other - Middle Name:MARIA
Other - Last Name:TORRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3 ROCKY PINE RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:RI
Mailing Address - Zip Code:02892-1063
Mailing Address - Country:US
Mailing Address - Phone:401-491-9071
Mailing Address - Fax:
Practice Address - Street 1:1130 TEN ROD RD
Practice Address - Street 2:D307B
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-4161
Practice Address - Country:US
Practice Address - Phone:401-294-3666
Practice Address - Fax:401-294-8565
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00190101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI411608OtherBLUECHIP
RI1061490OtherNEIGHBORHOOD HEALTH PLAN
RI27352-3OtherBLUE CROSS BLUE SHIELD
RICC57840Medicaid