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NPI Code Detail

MEDICARE: REAGAN HICKS

MEDICARE: REAGAN HICKS
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 Counselor

General Provider Information

NPI Number : 1720950074
Entity Type Code : Individual
Provider Name (Legal Business Name) : REAGAN HICKS
Provider Business Mailing Address
First Line : 6025 CEYLON ST UNIT 5305
Second Line :
City : DENVER
State : CO
Zip : 80249-7749
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 207 W HICKORY ST STE 203
Second Line :
City : DENTON
State : TX
Zip : 76201-4149
Country : US
Telephone Number : 214-326-0737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2025
Last Update Date : 09/18/2025

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Directions to “ REAGAN HICKS ” Practice Location

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