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General NPI Number Information
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NPI Number | 1811502966
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Entity Type | Organization
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Legal Business Name | R.E.S.T. COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 22 WEST ST
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City | MILLBURY
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State | MA
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Zip | 01527-2676
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Country | US
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Telephone | 774-243-2621
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Fax |
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Provider Business Mailing Address
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Address Line | 36 TIRRELL ST # 1
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City | WORCESTER
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State | MA
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Zip | 01603-2617
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Country | US
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Telephone | 774-243-2621
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. LEONARD JUSME
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Credential | LMHC
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Telephone | 774-243-2621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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