Provider Demographics
NPI:1720533136
Name:CLAIBORNE, REANNA CHALITA
Entity type:Individual
Prefix:
First Name:REANNA
Middle Name:CHALITA
Last Name:CLAIBORNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4324 MAPLESHADE LN STE 153
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-1201
Mailing Address - Country:US
Mailing Address - Phone:972-663-9139
Mailing Address - Fax:
Practice Address - Street 1:4324 MAPLESHADE LN STE 153
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-1201
Practice Address - Country:US
Practice Address - Phone:972-663-9139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-16
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90411101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional