Individual provider · Type 1 NPI

Stacey Deros

Mental Health Counselor · Providence, RI

NPI number 1396697272 Active

Practice location

55 Hope St
Providence, RI 02906-2001

Call (401) 228-4115 Map

Mailing address

15 Briarwood Dr
Quaker Hill, CT 06375-1002

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1396697272

Stacey Deros's National Provider Identifier is 1396697272, issued on Feb 12, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Providence, RI. The record was last updated on Feb 16, 2026.