Healthcare Provider Details

I. General information

NPI: 1952290645
Provider Name (Legal Business Name): REECE PAUL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 S SANDUSKY AVE
UPPER SANDUSKY OH
43351-1424
US

IV. Provider business mailing address

102 S SANDUSKY AVE
UPPER SANDUSKY OH
43351-1424
US

V. Phone/Fax

Practice location:
  • Phone: 419-294-1212
  • Fax: 419-294-6336
Mailing address:
  • Phone: 419-294-1212
  • Fax: 419-294-6336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2506862-TRNE
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: