Healthcare Provider Details

I. General information

NPI: 1477961936
Provider Name (Legal Business Name): RASHUNDA MILLER REED LPC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2014
Last Update Date: 08/14/2020
Certification Date: 08/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1921 CORPORATE SQUARE DR STE B
SLIDELL LA
70458-3172
US

IV. Provider business mailing address

155 ROBERT ST # 220
SLIDELL LA
70458-3647
US

V. Phone/Fax

Practice location:
  • Phone: 985-265-7701
  • Fax:
Mailing address:
  • Phone: 985-290-9439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3796
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1161
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: