# WATERS EDGE THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104433663
- **Authorized official:** CHRISTINE HEDDING (BILLER)
- **Authorized official phone:** (508) 740-7205

## Contact information

- **Practice address:** 1130 TEN ROD RD STE F206, N KINGSTOWN, RI 02852-4172
- **Practice address phone:** (508) 740-7205
- **Practice address fax:** (508) 484-9421
- **Mailing address:** 1130 TEN ROD RD STE F206, N KINGSTOWN, RI 02852-4172
- **Mailing address phone:** (401) 267-2954
- **Mailing address fax:** (508) 484-9421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2020
- **Last updated:** 01/28/2026