Healthcare Provider Details

I. General information

NPI: 1114894359
Provider Name (Legal Business Name): JOSE ANGEL REYES LAPC, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1628 CHEW ST FL 3
ALLENTOWN PA
18102-3649
US

IV. Provider business mailing address

2100 MACK BLVD FL 4
ALLENTOWN PA
18103-5622
US

V. Phone/Fax

Practice location:
  • Phone: 610-969-2529
  • Fax: 610-969-4332
Mailing address:
  • Phone: 484-224-1183
  • Fax: 484-884-0628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020634
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: