MEDICARE: NICOLE RUTH REED

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	101YM0800X	Mental Health Counselor	MH25769	FL

General Provider Information

NPI Number	:	1457018855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE RUTH REED

Provider Business Mailing Address
First Line	:	5469 ROWE TRL
Second Line	:
City	:	PACE
State	:	FL
Zip	:	32571-9556
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7100 PLANTATION RD STE 2
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32504-6234
Country	:	US
Telephone Number	:	850-324-7912
Fax Number	:

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

Provider Enumeration Date	:	11/19/2021
Last Update Date	:	07/13/2025

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Directions to “ NICOLE RUTH REED ” Practice Location

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