Healthcare Provider Details

I. General information

NPI: 1093650301
Provider Name (Legal Business Name): NOELLE REDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 BIRCH ST STE B
MILFORD MA
01757-3585
US

IV. Provider business mailing address

12 TIMBERLINE RD
MILLIS MA
02054-1142
US

V. Phone/Fax

Practice location:
  • Phone: 508-568-1924
  • Fax:
Mailing address:
  • Phone: 508-954-8365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: