Healthcare Provider Details

I. General information

NPI: 1932036795
Provider Name (Legal Business Name): MELISSA REED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 ALAMO RD
AMARILLO TX
79110-4706
US

IV. Provider business mailing address

4400 ALAMO RD
AMARILLO TX
79110-4706
US

V. Phone/Fax

Practice location:
  • Phone: 806-672-7484
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number74653
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: