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NPI Code Detail

MEDICARE: TIANA REID M.ED, LCMHC

MEDICARE:   TIANA  REID  M.ED, LCMHC
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 Counselor13059NC

General Provider Information

NPI Number : 1801308861
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIANA REID M.ED, LCMHC
Provider Business Mailing Address
First Line : 701 N ARENDELL AVE
Second Line :
City : ZEBULON
State : NC
Zip : 27597-2303
Country : US
Telephone Number : 919-815-1635
Fax Number :
Provider Business Practice Location Address
First Line : 701 N ARENDELL AVE
Second Line :
City : ZEBULON
State : NC
Zip : 27597-2303
Country : US
Telephone Number : 919-815-1635
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2017
Last Update Date : 01/24/2025

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Directions to “ TIANA REID M.ED, LCMHC” Practice Location

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