MEDICARE: CANDACE MATTHEWS REED LPC

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	101YP2500X	Professional Counselor	LPC004795	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780805275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDACE MATTHEWS REED LPC

Provider Business Mailing Address
First Line	:	PO BOX 2009
Second Line	:
City	:	DOUGLAS
State	:	GA
Zip	:	31534-2009
Country	:	US
Telephone Number	:	912-384-4357
Fax Number	:	912-384-4356

Provider Business Practice Location Address
First Line	:	101 MADISON AVE N STE 101
Second Line	:
City	:	DOUGLAS
State	:	GA
Zip	:	31533-4605
Country	:	US
Telephone Number	:	912-384-4357
Fax Number	:	912-384-4356

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

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	05/09/2026

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Directions to “ CANDACE MATTHEWS REED LPC” Practice Location

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