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Individual

VIVIA D AYRTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
460 PINE ST, PROVIDENCE, RI 02907-1358
(401) 272-0220
Mailing address
282 ORANGE ST, FALL RIVER, MA 02720-5124
(786) 357-2631

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
MHC00399-A
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042622756
CCA
MA
01
1134107113
FALLON
MA
05
1134107113
MA
01
12529
HNE
MA
01
71756
TUFTS
MA
01
997303
NETWORK HEALTH
MA
01
Y10086
MEDICARE
MA
Enumeration date
04/03/2018
Last updated
10/06/2025
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