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NPI Code Detail

MEDICARE: MOLLY REEVES

MEDICARE:   MOLLY  REEVES
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
1101YP2500XProfessional CounselorPC012641PA

General Provider Information

NPI Number : 1720694318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY REEVES
Provider Business Mailing Address
First Line : 1214 S 50TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19143-5102
Country : US
Telephone Number : 321-431-0213
Fax Number :
Provider Business Practice Location Address
First Line : 1214 S 50TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19143-5102
Country : US
Telephone Number : 321-431-0213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2020
Last Update Date : 03/26/2025

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Directions to “ MOLLY REEVES ” Practice Location

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