Revolution Youth INC
Community/Behavioral Health in Burlington, Vermont
1619638905- Practice location
- 95 College St, Burlington, VT 05401-8426
- Phone
- 207-812-6070
- Fax
- —
- Last updated
- November 18, 2024
Revolution Youth INC is a healthcare organization based in Burlington, VT. Revolution Youth INC practices in Burlington, VT. The NPI Number for Revolution Youth INC is 1619638905. The current practice location address for Revolution Youth INC is 95 College St, Burlington, VT 05401-8426 and can be reached out via phone at 207-812-6070.
Provider Profile Details
- NPI Number
- 1619638905
- Provider Name
- Revolution Youth INC
- Provider Entity Type
- Organization
- Address
- 95 College St, Burlington, VT 05401-8426
- Phone Number
- 207-812-6070
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Savannah Lord, LICSW, LADC · Director Of Clinical Services · 207-812-6070
- Provider Enumeration Date
- January 7, 2022
- Last Update Date
- November 18, 2024
- Certification Date
- November 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 95 College St
Burlington, VT 05401-8426 - City
- Burlington
- State
- Vermont
- Zip
- 05401-8426
- Phone Number
- 207-812-6070
Provider Business Mailing Address Details
- Address
- 95 College St
Burlington, VT 05401-8426 - City
- Burlington
- State
- VT
- Zip
- 05401-8426
License Information
- Taxonomy (1)
- Case Management · 251B00000X
- Taxonomy (2)
- Community/Behavioral Health · 251S00000X · Primary
- Taxonomy (3)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Revolution Youth INC?
The NPI number of Revolution Youth INC is 1619638905. It was assigned on January 7, 2022 and is currently active in the NPPES registry.
What is the specialty of Revolution Youth INC?
Revolution Youth INC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Revolution Youth INC practice?
The practice location is 95 College St, Burlington, VT 05401-8426. The office can be reached at 207-812-6070 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619638905 directly on the NPPES registry website.