# THEO BABASIDIS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619838315
- **Authorized official:** THEOFANIS BABASIDIS LMHC (OWNER)
- **Authorized official phone:** (585) 354-6692

## Contact information

- **Practice address:** 99 BURBANK ST, CRANSTON, RI 02910-3841
- **Practice address phone:** (585) 354-6692
- **Mailing address:** 99 BURBANK ST, CRANSTON, RI 02910-3841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2025
- **Last updated:** 11/21/2025