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NPI Code Detail

MEDICARE: OLIVIA L REYNOLDS LPCC-S, LMHC

MEDICARE: OLIVIA L REYNOLDS LPCC-S, LMHC
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 CounselorC.1400577OH

General Provider Information

NPI Number : 1972049260
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA L REYNOLDS LPCC-S, LMHC
Provider Business Mailing Address
First Line : 4353 SCHENCK AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2621
Country : US
Telephone Number : 513-557-6996
Fax Number :
Provider Business Practice Location Address
First Line : 4353 SCHENCK AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2621
Country : US
Telephone Number : 513-557-6996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2017
Last Update Date : 04/14/2026

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