Healthcare Provider Details

I. General information

NPI: 1841785763
Provider Name (Legal Business Name): REACH HIGH COUNSELING AND CONSULTING SERVICES , LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2018
Last Update Date: 09/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 WASHINGTON ST STE 205
STEUBENVILLE OH
43952
US

IV. Provider business mailing address

PO BOX 2561
WINTERSVILLE OH
43953-0561
US

V. Phone/Fax

Practice location:
  • Phone: 740-346-9227
  • Fax:
Mailing address:
  • Phone: 740-346-9227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC1400074
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS7605
License Number StateOH

VIII. Authorized Official

Name: DELORES LIVINGSTON
Title or Position: COUNSELOR/SOCIAL WORKER
Credential: L.P.C.C ,L.S.W.
Phone: 740-381-6758