Healthcare Provider Details

I. General information

NPI: 1629906821
Provider Name (Legal Business Name): SHORELINE HOPE & COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 TIOGUE AVE UNIT 1B
COVENTRY RI
02816-5887
US

IV. Provider business mailing address

45 RAWLINSON DR
COVENTRY RI
02816-5561
US

V. Phone/Fax

Practice location:
  • Phone: 803-903-2278
  • Fax:
Mailing address:
  • Phone: 803-903-2278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: CANDICE ASSELIN
Title or Position: OWNER
Credential: LMHC
Phone: 401-447-0761