Provider Demographics
NPI:1841150158
Name:GRAVELINE, VALERIE L (LMHC)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:L
Last Name:GRAVELINE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 NATE WHIPPLE HWY STE 202
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-1423
Mailing Address - Country:US
Mailing Address - Phone:401-405-0700
Mailing Address - Fax:
Practice Address - Street 1:175 NATE WHIPPLE HWY STE 202
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-1423
Practice Address - Country:US
Practice Address - Phone:401-405-0700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC01958101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty