MEDICARE: MS. ARLENE A REID LISW-CP

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	7231	SC

General Provider Information

NPI Number	:	1740464890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ARLENE A REID LISW-CP

Provider Business Mailing Address
First Line	:	25 SAPELO ISLAND LN
Second Line	:
City	:	BLUFFTON
State	:	SC
Zip	:	29910-6265
Country	:	US
Telephone Number	:	843-757-4351
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 SAPELO ISLAND LN
Second Line	:
City	:	BLUFFTON
State	:	SC
Zip	:	29910-6265
Country	:	US
Telephone Number	:	843-757-4351
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2007
Last Update Date	:	12/26/2007

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