Healthcare Provider Details

I. General information

NPI: 1023822467
Provider Name (Legal Business Name): FLIP THE SWITCH COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 MAIN ST # 1234
WORCESTER MA
01608-1723
US

IV. Provider business mailing address

370 MAIN ST # 1234
WORCESTER MA
01608-1723
US

V. Phone/Fax

Practice location:
  • Phone: 978-790-8799
  • Fax:
Mailing address:
  • Phone: 978-790-8799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DAHEEM JIHAR RICHARDSON
Title or Position: EXECUTIVE/DIRECTOR
Credential: CARC
Phone: 978-790-8799