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NPI Code Detail

MEDICARE: MR. THOMAS REID LCSW

MEDICARE: MR. THOMAS REID LCSW
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
1101YM0800XMental Health CounselorC004990NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487703112
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS REID LCSW
Provider Business Mailing Address
First Line : 2670 DURHAM CHAPEL HILL BLVD
Second Line :
City : DURHAM
State : NC
Zip : 27707-2829
Country : US
Telephone Number : 919-251-9001
Fax Number : 919-251-9008
Provider Business Practice Location Address
First Line : 2670 DURHAM CHAPEL HILL BLVD
Second Line :
City : DURHAM
State : NC
Zip : 27707-2829
Country : US
Telephone Number : 919-251-9001
Fax Number : 919-251-9008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 05/29/2013

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Directions to “ MR. THOMAS REID LCSW” Practice Location

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