Individual
GLENDA BYHOUWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCDP, CDCS
Contact information
Practice address
132 OLD RIVER RD, SUITE 100, LINCOLN, RI 02865-1158
(401) 333-2002
Mailing address
132 OLD RIVER RD, SUITE 100, LINCOLN, RI 02865-1161
(401) 333-2002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDP00137
RI
104100000X
Social Worker
ISW00751
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30453-9
BLUE CROSS
RI
01
—
406358
BLUE CHIP
RI
Enumeration date
12/11/2006
Last updated
09/11/2025
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