MEDICARE: ALEXIUS REID LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	LPC05910	AL

General Provider Information

NPI Number	:	1255168167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIUS REID LPC

Provider Business Mailing Address
First Line	:	4758 WOODMERE BLVD STE F
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-3076
Country	:	US
Telephone Number	:	334-912-0003
Fax Number	:

Provider Business Practice Location Address
First Line	:	4758 WOODMERE BLVD STE F
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-3076
Country	:	US
Telephone Number	:	334-912-0003
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2024
Last Update Date	:	03/27/2026

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