Healthcare Provider Details

I. General information

NPI: 1619606928
Provider Name (Legal Business Name): TONI RESENDES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2022
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 CHANDLER ST
WORCESTER MA
01602-3441
US

IV. Provider business mailing address

8 LORING CT APT 2
HUDSON MA
01749-2342
US

V. Phone/Fax

Practice location:
  • Phone: 877-222-0399
  • Fax:
Mailing address:
  • Phone: 978-875-0568
  • 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: