| Doctor Name: | MARKIESHA REYNOLDS |
| NPI Number: | 1124474283 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LLMSW |
| License Number: | |
| Business Practice Address: | 1000 Harrington St Mount Clemens, MI - 480432920 |
| Business Phone Number: | 5864938010 |
| Business Fax Number: | 5864938183 |
| Mailing Address: | 401 S Ballenger Hwy, FLINT |
| State: | MI |
| Postal Code: | 485323638 |
| Phone Number: | 8103421000 |
| Fax Number: | 8103421591 |
| NPI Enumeration Date: | 05/09/2016 |
| NPI Last Update Date: | 05/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |