Healthcare Provider Details

I. General information

NPI: 1619507829
Provider Name (Legal Business Name): TAYLOR HUTCHINS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2020
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 NARRAGANSETT PARK DR STE 100
PAWTUCKET RI
02861-4326
US

IV. Provider business mailing address

555 N MAIN ST # 1188
PROVIDENCE RI
02904-5722
US

V. Phone/Fax

Practice location:
  • Phone: 401-585-0146
  • Fax:
Mailing address:
  • Phone: 401-248-3723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC01108
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: