MEDICARE: MS. LAURIE P.. REED M.ED., M.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	C000233	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	036438	OTHER	NC	VALUE OPTIONS

General Provider Information

NPI Number	:	1225081565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURIE P.. REED M.ED., M.S.W.

Provider Business Mailing Address
First Line	:	1300 BAXTER ST
Second Line	:	SUITE 265
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-3053
Country	:	US
Telephone Number	:	704-335-8716
Fax Number	:	704-335-8717

Provider Business Practice Location Address
First Line	:	1300 BAXTER ST
Second Line	:	SUITE 265
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-3053
Country	:	US
Telephone Number	:	704-335-8716
Fax Number	:	704-335-8717

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	11/02/2011

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