Provider Demographics
NPI:1245913920
Name:REMIND BEHAVIORAL HEALTH SERVICES
Entity type:Organization
Organization Name:REMIND BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:PASCUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:716-507-8200
Mailing Address - Street 1:130 S UNION ST STE 10
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-3676
Mailing Address - Country:US
Mailing Address - Phone:716-507-8200
Mailing Address - Fax:949-695-2919
Practice Address - Street 1:130 S UNION ST STE 10
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-3676
Practice Address - Country:US
Practice Address - Phone:716-507-8200
Practice Address - Fax:949-695-2919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty