Healthcare Provider Details

I. General information

NPI: 1386571438
Provider Name (Legal Business Name): HIGHER GROUND, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 WEBSTER ST STE 5
HANOVER MA
02339-1227
US

IV. Provider business mailing address

105 WEBSTER ST STE 5
HANOVER MA
02339-1227
US

V. Phone/Fax

Practice location:
  • Phone: 401-219-6731
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: RYAN CAMPBELL
Title or Position: MENTAL HEALTH CLINICIAN
Credential: LICSW
Phone: 401-219-6731