MEDICARE: PATRICIA JASMINE REYNOLDS LPCC

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	C.2204521	OH

General Provider Information

NPI Number	:	1740768589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA JASMINE REYNOLDS LPCC

Provider Business Mailing Address
First Line	:	16761 SAINT CLAIR AVE
Second Line	:
City	:	EAST LIVERPOOL
State	:	OH
Zip	:	43920-9400
Country	:	US
Telephone Number	:	330-932-1823
Fax Number	:	330-932-1832

Provider Business Practice Location Address
First Line	:	16761 SAINT CLAIR AVE
Second Line	:
City	:	EAST LIVERPOOL
State	:	OH
Zip	:	43920-9400
Country	:	US
Telephone Number	:	330-932-1823
Fax Number	:	330-932-1832

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

Provider Enumeration Date	:	08/03/2018
Last Update Date	:	02/10/2026

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