Harry G Provadakes, M.DIV
Counselor, Addiction (Substance Use Disorder) in Lowell, MA. Individual provider (NPI-1).
Details
- NPI
- 1760639439
- Entity type
- Individual (NPI-1)
- Name
- Harry G Provadakes
- Credential
- M.DIV
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2008
- Last updated
- Aug 25, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
555 Merrimack StLowell, MA 01854-3906
Phone 978-459-8656 · Fax 978-937-2559
Mailing address
555 Merrimack StLowell, MA 01854-3906
Phone 978-459-8656 · Fax 978-937-2559
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 98 Addiction (Substance Use Disorder) Counselor providers in Lowell · All 3,527 providers in Lowell
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