Healthcare Provider Details

I. General information

NPI: 1619831310
Provider Name (Legal Business Name): FAITHFUL CONNECTIONS CHRISTIAN COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 INDUSTRIAL RD STE 100
CUMBERLAND RI
02864-4742
US

IV. Provider business mailing address

45 INDUSTRIAL RD STE 100
CUMBERLAND RI
02864-4742
US

V. Phone/Fax

Practice location:
  • Phone: 508-625-0998
  • Fax: 401-679-6193
Mailing address:
  • Phone: 508-625-0998
  • Fax: 401-679-6193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: BRIAN FLETCHER
Title or Position: OWNER
Credential: LCDP, LCSW
Phone: 508-625-0998