Provider Demographics
NPI:1821384421
Name:REDWING SERVICES, INC.
Entity Type:Organization
Organization Name:REDWING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FUNK SCHLIESTETT
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA
Authorized Official - Phone:207-752-2709
Mailing Address - Street 1:PO BOX 482
Mailing Address - Street 2:
Mailing Address - City:ROLLINSFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03869-0482
Mailing Address - Country:US
Mailing Address - Phone:207-752-2709
Mailing Address - Fax:
Practice Address - Street 1:3 FRONT ST
Practice Address - Street 2:LOWER MILL SUITE 404
Practice Address - City:ROLLINSFORD
Practice Address - State:NH
Practice Address - Zip Code:03869-7001
Practice Address - Country:US
Practice Address - Phone:207-752-2709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1-09-5668103K00000X
NH1-09-5668103K00000X
MESP1283235Z00000X
NH0885235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty