MEDICARE: REIGN INTEGRATED HEALTHCARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1558217356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REIGN INTEGRATED HEALTHCARE

Provider Business Mailing Address
First Line	:	386 JACK NEELY RD
Second Line	:
City	:	COVINGTON
State	:	GA
Zip	:	30016-1815
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	386 JACK NEELY RD
Second Line	:
City	:	COVINGTON
State	:	GA
Zip	:	30016-1815
Country	:	US
Telephone Number	:	757-515-4648
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	CHENELLE WRIGHT
Credential	:
Telephone Number	:	757-515-4648

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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Directions to “REIGN INTEGRATED HEALTHCARE ” Practice Location

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