THE REDCO GROUP LLC. NPI 1033289764

NPI Information

  • NPI: 1033289764
  • Provider Name: THE REDCO GROUP, LLC.
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Doing Business As: CLARVIDA
  • Address: 210 S CENTRE ST
    POTTSVILLE, PA
    ZIP 17901
  • Phone: (570) 628-5215

Map and Directions

Get Directions

NPI Details

THE REDCO GROUP, LLC. is an adolescent and children mental health clinic center in Pottsville, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. THE REDCO GROUP, LLC. NPI is 1033289764. The provider is registered as an organization entity type.
The provider Is Doing Business As Clarvida.

The provider's business location address is:

210 S CENTRE ST
POTTSVILLE, PA
ZIP 17901-501
Phone: (570) 628-5215

The provider's authorized official is Tim Sohosky .
The authorized official title is C.o.o. and has the following contact phone number (570) 628-5215.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 7/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental Health203110PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11000017170169MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI