NIETTA REYNOLDS


Address: 4935 Junius, 9, Dallas, TX 75214
Phone: 2143296688

NIETTA REYNOLDS (NPI# 1447783352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447783352
Entity Type Individual
Full Name NIETTA REYNOLDS
Practice Address 4935 Junius
9
Dallas
TX 75214
Practice Telephone 2143296688
Mailing Telephone 2143296688
Enumeration Date 2017-04-07
Last Update Date 2017-04-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
22063991 TX Behavioral Health & Social Service Providers

Office Location

Street Address 4935 JUNIUS
9
City DALLAS
State TX
Zip Code 75214

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City DALLAS
Zip Code 75214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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