Healthcare Provider Details

I. General information

NPI: 1336090844
Provider Name (Legal Business Name): HEARTHSTONE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 TEN ROD RD STE C205B1
NORTH KINGSTOWN RI
02852-4161
US

IV. Provider business mailing address

1130 TEN ROD RD STE C205B1
NORTH KINGSTOWN RI
02852-4161
US

V. Phone/Fax

Practice location:
  • Phone: 401-436-8930
  • Fax: 401-297-0885
Mailing address:
  • Phone: 401-436-8930
  • Fax: 401-297-0885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: EMMA SPANN
Title or Position: THERAPIST
Credential: LMHC
Phone: 334-714-3260