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NPI Code Detail

MEDICARE: LORIEL REYNOLDS

MEDICARE: LORIEL REYNOLDS
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
3101Y00000XCounselor

General Provider Information

NPI Number : 1730044298
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORIEL REYNOLDS
Provider Business Mailing Address
First Line : 4828 ASHFORD DUNWOODY RD STE 100
Second Line :
City : ATLANTA
State : GA
Zip : 30338-4833
Country : US
Telephone Number : 770-238-2674
Fax Number :
Provider Business Practice Location Address
First Line : 4828 ASHFORD DUNWOODY RD STE 100
Second Line :
City : ATLANTA
State : GA
Zip : 30338-4833
Country : US
Telephone Number : 770-238-2674
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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Directions to “ LORIEL REYNOLDS ” Practice Location

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