Healthcare Provider Details

I. General information

NPI: 1508551748
Provider Name (Legal Business Name): HEATHER DAWN RHEAUME
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 TEN ROD RD STE 114
NORTH KINGSTOWN RI
02852-4238
US

IV. Provider business mailing address

650 TEN ROD RD STE 114
NORTH KINGSTOWN RI
02852-4238
US

V. Phone/Fax

Practice location:
  • Phone: 401-343-0815
  • Fax:
Mailing address:
  • Phone: 401-343-0815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW00681
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: