1275106551 NPI number — MRS. EMILY FRANCES DEBOLD LMHC

Table of content: (NPI 1275381329)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275106551 NPI number — MRS. EMILY FRANCES DEBOLD LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DEBOLD
Provider First Name:
EMILY
Provider Middle Name:
FRANCES
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MORSE
Provider Other First Name:
EMILY
Provider Other Middle Name:
FRANCES
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1275106551
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/07/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
420 SCRABBLETOWN RD STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH KINGSTOWN
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02852-3638
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-268-5333
Provider Business Mailing Address Fax Number:
855-268-5333

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1170 PONTIAC AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CRANSTON
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02920-7944
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-500-0424
Provider Business Practice Location Address Fax Number:
855-268-5333
Provider Enumeration Date:
07/23/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  MHC01244 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: MHC01244 . This is a "RI MEDICAL LICENSE (LMHC)" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".




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