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REYNOLDS COUNSELING & ASSOCIATES LLC NPI 1639677156


NPI Information

NPI: 1639677156
Provider Name: REYNOLDS COUNSELING & ASSOCIATES LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2103 E WASHINGTON ST STE 3E
BLOOMINGTON, IL
ZIP 61701
Phone: (217) 871-3001
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REYNOLDS COUNSELING & ASSOCIATES LLC is a mental health counselor in Bloomington, IL. REYNOLDS COUNSELING & ASSOCIATES LLC NPI is 1639677156. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2103 E WASHINGTON ST STE 3E
BLOOMINGTON, IL
ZIP 61701-365
Phone: (217) 871-3001
Fax: (866) 226-2435

The provider's authorized official is Ashley Reynolds .
The authorized official title is Lcpc and has the following contact phone number (217) 871-3001.

The enumeration date for this NPI number is 1/30/2018 and was last updated on 1/30/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health180.101585ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11376930024MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.