# SILVERCREST HEALING SANCTUARY, LLC

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

## Provider details

- **NPI number:** 1942178538
- **Authorized official:** KAILEY NYKAI MA, CAGS, LMHC, LCDP (OWNER)
- **Authorized official phone:** (401) 329-6527

## Contact information

- **Practice address:** 840 CUMBERLAND HILL RD UNIT 202, WOONSOCKET, RI 02895-5657
- **Practice address phone:** (401) 329-6527
- **Mailing address:** 840 CUMBERLAND HILL RD UNIT 202, 1ST FLOOR, WOONSOCKET, RI 02895-5657
- **Mailing address phone:** (401) 329-6527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2025
- **Last updated:** 10/27/2025