Healthcare Provider Details

I. General information

NPI: 1114235918
Provider Name (Legal Business Name): REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2010
Last Update Date: 09/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 S PARK DR # B
BROWNWOOD TX
76801-5905
US

IV. Provider business mailing address

7100 COMMERCE WAY STE 180
BRENTWOOD TN
37027-2829
US

V. Phone/Fax

Practice location:
  • Phone: 325-643-8080
  • Fax: 325-643-8188
Mailing address:
  • Phone: 615-465-7631
  • Fax: 615-465-2876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DEBBIE BREWER
Title or Position: DIRECTOR
Credential:
Phone: 615-465-7626