Healthcare Provider Details

I. General information

NPI: 1497396998
Provider Name (Legal Business Name): AMBER REID
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2019
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5969 E LIVINGSTON AVE STE 100
COLUMBUS OH
43232-2907
US

IV. Provider business mailing address

5969 E LIVINGSTON AVE STE 100
COLUMBUS OH
43232-2907
US

V. Phone/Fax

Practice location:
  • Phone: 614-864-2700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: