Healthcare Provider Details

I. General information

NPI: 1477466696
Provider Name (Legal Business Name): CLAIRE REID
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 E MISSOURI AVE
PHOENIX AZ
85014-2708
US

IV. Provider business mailing address

1934 E CAMELBACK RD # 126
PHOENIX AZ
85016-4126
US

V. Phone/Fax

Practice location:
  • Phone: 602-932-3436
  • Fax:
Mailing address:
  • Phone: 440-666-8910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: