Healthcare Provider Details

I. General information

NPI: 1528982550
Provider Name (Legal Business Name): TISHANNA M LIVINGSTON LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 COLLEGE HILL RD STE 30E
WARWICK RI
02886-2767
US

IV. Provider business mailing address

33 COLLEGE HILL RD STE 30E
WARWICK RI
02886-2767
US

V. Phone/Fax

Practice location:
  • Phone: 401-821-6070
  • Fax: 401-821-6047
Mailing address:
  • Phone: 401-821-6070
  • Fax: 401-821-6047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: