Healthcare Provider Details

I. General information

NPI: 1649057027
Provider Name (Legal Business Name): JULIE ANN REINCKE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 KYLE ST.
EATON RAPIDS MI
48827
US

IV. Provider business mailing address

9221 ARROWHEAD TRL
EATON RAPIDS MI
48827-8563
US

V. Phone/Fax

Practice location:
  • Phone: 517-899-8432
  • Fax:
Mailing address:
  • Phone: 517-719-0199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401225440
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401225440
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: