MEDICARE: REACH COUNSELING SERVICES LLC.

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

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

General Provider Information

NPI Number	:	1598356925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REACH COUNSELING SERVICES LLC.

Provider Business Mailing Address
First Line	:	5330 STADIUM TRACE PARKWAY SUITE 106
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-4526
Country	:	US
Telephone Number	:	205-861-6419
Fax Number	:	205-860-9850

Provider Business Practice Location Address
First Line	:	5330 STADIUM TRACE PKWY STE 106
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-4526
Country	:	US
Telephone Number	:	205-861-6419
Fax Number	:	205-860-9850

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINIA HINTON
Credential	:	ALC
Telephone Number	:	205-383-3443

Provider Enumeration Date	:	01/28/2021
Last Update Date	:	11/15/2021

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