Healthcare Provider Details

I. General information

NPI: 1417600214
Provider Name (Legal Business Name): CHRISTINA REED MAGC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINA REED MAGC

II. Dates (important events)

Enumeration Date: 02/01/2022
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 N BLOOMFIELD RD
WINCHESTER KY
40391-1201
US

IV. Provider business mailing address

1619 BYPASS RD
WINCHESTER KY
40391-2715
US

V. Phone/Fax

Practice location:
  • Phone: 859-536-0416
  • Fax:
Mailing address:
  • Phone: 859-536-4016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number201180646
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: