# SHINE THE LIGHT HEALING AND WELLNESS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1114615952
- **Authorized official:** JESSICA REIS DRISCOLL MSW, LICSW (CO-OWNER)
- **Authorized official phone:** (401) 271-3689

## Contact information

- **Practice address:** 16 MAIN ST STE 301, EAST GREENWICH, RI 02818-3827
- **Practice address phone:** (401) 271-3689
- **Mailing address:** 16 MAIN ST STE 301, EAST GREENWICH, RI 02818-3827
- **Mailing address phone:** (401) 271-3689

## Taxonomy

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

## Other

- **Enumeration date:** 04/28/2023
- **Last updated:** 04/28/2023