Healthcare Provider Details

I. General information

NPI: 1982866760
Provider Name (Legal Business Name): LAURA NOEL REED LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 12/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 N COURTHOUSE RD SUITE 101
NORTH CHESTERFIELD VA
23236-4070
US

IV. Provider business mailing address

701 N COURTHOUSE RD SUITE 101
NORTH CHESTERFIELD VA
23236-4070
US

V. Phone/Fax

Practice location:
  • Phone: 804-231-1350
  • Fax: 804-231-5825
Mailing address:
  • Phone: 804-231-1350
  • Fax: 804-231-5825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904006846
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: