Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CULTIVATE CHANGE COUNSELING, LLC
NPI 1033017207
Counselor - Mental Health in Providence, RI

Q: What is Cultivate Change Counseling, LLC's NPI number?

The NPI number for Cultivate Change Counseling, LLC is 1033017207. It was assigned to this organization in the NPPES registry on October 28, 2026.

Q: What is Cultivate Change Counseling, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since October 28, 2026

205 WATERMAN ST STE 202, PROVIDENCE, RI 02906(401) 753-3141(401) 679-6595 Get Directions Write a Review

NPPES record added: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Cultivate Change Counseling, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CULTIVATE CHANGE COUNSELING, LLC (NPI 1033017207) is a healthcare organization registered as a mental health in Providence, Rhode Island and active in the NPI registry since October 2026. The organization lists Nicole Millick, Owner, as its authorized official.

NPPES Registry Identity

NPI1033017207

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameCULTIVATE CHANGE COUNSELING, LLC

Location Address205 WATERMAN ST STE 202Providence, RI 02906-4313

Mailing Address22 Parsonage St Unit 134Providence, RI 02903-4732 · (401) 753-3141 · Fax (401) 679-6595

Phone(401) 753-3141

Fax(401) 679-6595

Organization SubpartNo

Authorized OfficialNicole MillickOwner · (401) 753-3141

Enumeration DateOctober 28, 2026

NPPES CertifiedOctober 28, 2026

✔ NPI 1033017207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

205 WATERMAN ST STE 202, Providence, RI 02906

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA ANNE FORTINI

Counselor

205 WATERMAN ST STE 202
PROVIDENCE, RI 02906

Providence County (401) 433-9812

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cultivate Change Counseling, LLC's NPI number?

The NPI number for Cultivate Change Counseling, LLC is 1033017207. It was assigned to this organization in the NPPES registry on October 28, 2026.

Where is Cultivate Change Counseling, LLC located?

Cultivate Change Counseling, LLC is located at 205 Waterman St Ste 202, Providence, RI 02906. The listed phone number is (401) 753-3141.

What is Cultivate Change Counseling, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Cultivate Change Counseling, LLC was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.