1508964909 NPI number — MS. CHRISTINE REED L.C.S.W.

Table of content: MS. CHRISTINE REED L.C.S.W. (NPI 1508964909)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508964909 NPI number — MS. CHRISTINE REED L.C.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REED
Provider First Name:
CHRISTINE
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
L.C.S.W.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508964909
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/26/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9660 HILLCROFT ST.-
Provider Second Line Business Mailing Address:
SUITE 120C
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77096-3876
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-790-0343
Provider Business Mailing Address Fax Number:
713-686-1837

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9660 HILLCROFT STREET
Provider Second Line Business Practice Location Address:
SUITE 120 C
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77096-3876
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-790-0343
Provider Business Practice Location Address Fax Number:
713-686-1837
Provider Enumeration Date:
09/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  00873 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 35004300 . This is a "MAGELLAN PROVIDER #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 7850057 . This is a "AETNA PROVIDER PIN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 00S66G . This is a "BLUE CROSS BLUE SHIELD TX" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 125006 . This is a "MANAGED HEALTH NETWORK #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 361291 . This is a "VALUE OPTIONS PROVIDER #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com