Provider Demographics
NPI:1811502966
Name:R.E.S.T. COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:R.E.S.T. COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:JUSME
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:774-243-2621
Mailing Address - Street 1:36 TIRRELL ST # 1
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01603-2617
Mailing Address - Country:US
Mailing Address - Phone:774-243-2621
Mailing Address - Fax:
Practice Address - Street 1:22 WEST ST
Practice Address - Street 2:
Practice Address - City:MILLBURY
Practice Address - State:MA
Practice Address - Zip Code:01527-2676
Practice Address - Country:US
Practice Address - Phone:774-243-2621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health