Healthcare Provider Details

I. General information

NPI: 1972013423
Provider Name (Legal Business Name): MISTY LYNN REED BS, BS, MS. MS, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2017
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 MEDRA DR
MONROE LA
71202-3034
US

IV. Provider business mailing address

1902 MEDRA DR
MONROE LA
71202-3034
US

V. Phone/Fax

Practice location:
  • Phone: 504-210-9880
  • Fax:
Mailing address:
  • Phone: 504-210-9880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: