Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edvertis Thadison III

Individual provider Counselor · NPI 1104290493

Edvertis Thadison III is a Counselor in Springfield, Massachusetts. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

130 Maple St
Springfield, MA 01103-2202
Phone: (413) 737-9544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1104290493
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 24, 2015
Last updated in NPPESNovember 24, 2015

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