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: 08/23/2021
Certification Date: 08/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 COLE AVE
WARWICK RI
02886-3425
US

IV. Provider business mailing address

3205 POST RD UNIT 6056
WARWICK RI
02887-7746
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: