Healthcare Provider Details

I. General information

NPI: 1336637776
Provider Name (Legal Business Name): DENISE J REED LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2018
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 COURT ST STE 2B
BATH ME
04530-2018
US

IV. Provider business mailing address

12 COURT ST STE 2B
BATH ME
04530-2018
US

V. Phone/Fax

Practice location:
  • Phone: 207-295-5510
  • Fax:
Mailing address:
  • Phone: 207-295-5510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCC5319
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: