Provider Demographics
NPI:1144915208
Name:REID, MONICA F (LPC-SUPERVISOR)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:F
Last Name:REID
Suffix:
Gender:F
Credentials:LPC-SUPERVISOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 SUGAR BISCUIT LN
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-5547
Mailing Address - Country:US
Mailing Address - Phone:325-829-0840
Mailing Address - Fax:
Practice Address - Street 1:189 SUGAR BISCUIT LN
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-5547
Practice Address - Country:US
Practice Address - Phone:325-829-0840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64546101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor