Doctor Name: | KAREN MICHELLE REID |
NPI Number: | 1699950857 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC, BCBA |
License Number: | MH8946 |
Business Practice Address: | 21 Longwood Dr Shalimar, FL - 325791013 |
Business Phone Number: | 2516051017 |
Business Fax Number: | |
Mailing Address: | 21 Longwood Dr, SHALIMAR |
State: | FL |
Postal Code: | 325791013 |
Phone Number: | 2516051017 |
Fax Number: | |
NPI Enumeration Date: | 01/07/2008 |
NPI Last Update Date: | 04/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH8946 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |