Provider Demographics
NPI:1780838565
Name:STONE, SHELAGH M (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:SHELAGH
Middle Name:M
Last Name:STONE
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 S COUNTY COMMONS WAY
Mailing Address - Street 2:SUITE D-10
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-8240
Mailing Address - Country:US
Mailing Address - Phone:401-829-5316
Mailing Address - Fax:401-633-6723
Practice Address - Street 1:35 S COUNTY COMMONS WAY
Practice Address - Street 2:SUITE D-10
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-8240
Practice Address - Country:US
Practice Address - Phone:401-829-5316
Practice Address - Fax:401-633-6723
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-06
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00430101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health