Healthcare Provider Details

I. General information

NPI: 1831361609
Provider Name (Legal Business Name): RICHARD REINHARDT MA,LBSW,,QMHP,CADC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 05/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 FAST ICE DR
MIDLAND MI
48642-6167
US

IV. Provider business mailing address

218 FAST ICE DR
MIDLAND MI
48642-6167
US

V. Phone/Fax

Practice location:
  • Phone: 989-631-2320
  • Fax: 989-631-9903
Mailing address:
  • Phone: 989-631-2320
  • Fax: 989-631-9903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number6802073013
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6802073013
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: