Healthcare Provider Details

I. General information

NPI: 1215847090
Provider Name (Legal Business Name): THE CAPABLE COTTAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 CHESTNUT ST STE 200
PROVIDENCE RI
02903-4604
US

IV. Provider business mailing address

9 LEEDER ST
WEST WARWICK RI
02893-3813
US

V. Phone/Fax

Practice location:
  • Phone: 401-287-4012
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: GABRIELLA CARCANO
Title or Position: OWNER
Credential: LCDP
Phone: 401-287-4012