Provider Demographics
NPI:1538982913
Name:REIGN THERAPY CHRISTIAN COUNSELING
Entity type:Organization
Organization Name:REIGN THERAPY CHRISTIAN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSEFINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:REIGN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:630-973-0226
Mailing Address - Street 1:2846 MINOCQUA PL
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46203-4681
Mailing Address - Country:US
Mailing Address - Phone:630-973-0226
Mailing Address - Fax:
Practice Address - Street 1:2846 MINOCQUA PL
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203-4681
Practice Address - Country:US
Practice Address - Phone:317-456-2878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health