Revidas LLC

NPI #1528410610 in Worcester, Massachusetts

Provider Information

NPI Number: 1528410610
Entity Type: Organization
Organization Name: Revidas LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 12, 2016
Last Updated: Oct 1, 2024

Practice Location

Address: 108 GROVE STREET
Address 2: SUITE LL11
City: Worcester
State: Massachusetts
ZIP Code: 01605-2677
Phone: (508) 304-7499

Authorized Official

Name: MR. GEOFFREY CUSHNER
Title: MANAGING DIRECTOR
Phone: (508) 304-7499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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