Healthcare Provider Details

I. General information

NPI: 1164345393
Provider Name (Legal Business Name): KRIS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 BROADWAY UNIT 3
PROVIDENCE RI
02909-1143
US

IV. Provider business mailing address

341 BROADWAY UNIT 3
PROVIDENCE RI
02909-1143
US

V. Phone/Fax

Practice location:
  • Phone: 401-238-4855
  • Fax: 401-238-4856
Mailing address:
  • Phone: 401-238-4855
  • Fax: 401-238-4856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KRISTIN MARIE STELTER
Title or Position: OWNER
Credential: LICSW, MFA
Phone: 401-238-4855