Healthcare Provider Details

I. General information

NPI: 1295397032
Provider Name (Legal Business Name): SAVIDA AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2019
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 ALFRED ST # 4
BIDDEFORD ME
04005-3756
US

IV. Provider business mailing address

PO BOX 291943
NASHVILLE TN
37229-1943
US

V. Phone/Fax

Practice location:
  • Phone: 833-925-0829
  • Fax:
Mailing address:
  • Phone: 883-952-0829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: MARINA MAHONEY
Title or Position: VP OF REVENUE CYCLE MANAGEMENT
Credential:
Phone: 833-952-0829