MEDICARE: MISS ALEXIS M REED 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	E.2404010	OH

General Provider Information

NPI Number	:	1922627355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ALEXIS M REED LPCC

Provider Business Mailing Address
First Line	:	1257 COLFAX AVE
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45419-2103
Country	:	US
Telephone Number	:	513-204-9832
Fax Number	:

Provider Business Practice Location Address
First Line	:	1257 COLFAX AVE
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45419-2103
Country	:	US
Telephone Number	:	513-204-9832
Fax Number	:

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

Provider Enumeration Date	:	04/15/2020
Last Update Date	:	02/16/2024

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