Healthcare Provider Details

I. General information

NPI: 1679934426
Provider Name (Legal Business Name): ALEXIS REAMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2016
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 VERDAE BLVD
GREENVILLE SC
29607-4025
US

IV. Provider business mailing address

14 TROLLINGWOOD WAY
PELZER SC
29669-9440
US

V. Phone/Fax

Practice location:
  • Phone: 864-715-9390
  • Fax: 864-640-8252
Mailing address:
  • Phone: 864-715-9390
  • Fax: 864-640-8252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8847
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: