FRED RICHARD REYNOLDS (NPI# 1871640920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871640920 |
| Entity Type | Individual |
| Full Name | FRED RICHARD REYNOLDS |
| Credential | LPC |
| Practice Address |
252 Seavy Street Senoia GA 30276-0147 |
| Mailing Address |
Po Box 147 252 Seavy Street Senoia GA 30276-0147 |
| Practice Telephone | 7705991102 |
| Practice Fax Number | 7705990806 |
| Mailing Telephone | 7705991102 |
| Mailing Fax Number | 7705990806 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1386 | GA | Behavioral Health & Social Service Providers |
| Street Address |
252 SEAVY STREET |
| City | SENOIA |
| State | GA |
| Zip Code | 30276-0147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962976563 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 10 Village West Dr. Ste A, Senoia, GA 30276 | 2019-01-16 |
| 1518406842 | Corey Ann Tolbert | Dietitian, Registered | 20 Charleston Dr, Senoia, GA 30276 | 2017-02-20 |
| 1639509920 | Priscilla Jane Thompson | Chore Provider | 229 Deep South Rd, Senoia, GA 30276 | 2013-11-22 |
| 1821331711 | Dana R. Chaffin | Family Medicine | 7285 Highway 16, Suite C, Senoia, GA 30276 | 2013-03-29 |
| 1396747077 | Christina R. Macaluso | Family Medicine | 42 Main Street, Suite 2a, Senoia, GA 30276 | 2005-08-12 |
| 1902236284 | Compassionate Hands Personal Care | Nursing Care | 229 Deep South Rd, Senoia, GA 30276 | 2013-11-22 |
| 1710270996 | Gregory C. Offor | Pharmacist | 120 Renwick Dr, Senoia, GA 30276-1361 | 2011-05-23 |
| 1013445162 | Emily Greene Schubert | Behavioral Analyst | 298 Seavy St, Senoia, GA 30276-1806 | 2017-06-01 |
| 1972830263 | Paraclete Christian Counseling and Educational Services | Community/Behavioral Health | 252 Seavy St, Senoia, GA 30276-1806 | 2009-11-09 |
| 1093243214 | Georgia Behavior Specialists, Inc. | Behavioral Analyst | 298 Seavy St, Senoia, GA 30276-1806 | 2017-06-01 |
| Find all providers in zip 30276 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780859 | Jennifer Lynn Fedderick | Counselor | 459 Thrasher Rd, Plains, GA 31780-5310 | 2020-11-04 |
| 1376144766 | Arlicia Lagene Johnson | Counselor | 220 Osmanthus Way, Canton, GA 30114-7197 | 2020-11-03 |
| 1558962027 | Evan Kauper | Counselor | 2002 Smith Dr Nw, Kennesaw, GA 30144-1851 | 2020-11-02 |
| 1801496864 | Poonam A Patel | Counselor | 2916 Clairmont Rd Ne Apt 2413, Brookhaven, GA 30329-4476 | 2020-10-29 |
| 1740880061 | Pledger Behavior Consulting, LLC | Counselor | 7563 Highway 337, Summerville, GA 30747-6101 | 2020-10-27 |
| 1801495411 | Bianca Tiara Abrams | Counselor | 916 Glenwood Park Dr Se, Atlanta, GA 30316-6845 | 2020-10-23 |
| 1780283713 | Stacey Dougan | Counselor | 696 Mountain Dr Ne, Atlanta, GA 30342-3904 | 2020-10-21 |
| 1619576865 | Therapy Pond, LLC | Counselor | 1262 Concord Rd Se Ste 200, Smyrna, GA 30080-5307 | 2020-10-20 |
| 1164021259 | Miracles Outreach International | Counselor | 6825 Jimmy Carter Blvd Ste 1570b, Norcross, GA 30071-1215 | 2020-10-20 |
| 1699374025 | Alexxis Trimmings | Counselor | 205 W Montgomery Xrd Apt 106, Savannah, GA 31406-7121 | 2020-10-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FRED RICHARD REYNOLDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.