Provider Demographics
NPI:1003381674
Name:J REYNOLDS COUNSELING & CONSULTING LLC
Entity Type:Organization
Organization Name:J REYNOLDS COUNSELING & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:256-506-6982
Mailing Address - Street 1:PO BOX 100158
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35210-0158
Mailing Address - Country:US
Mailing Address - Phone:256-506-6982
Mailing Address - Fax:205-558-5513
Practice Address - Street 1:85 BAGBY DR STE 336
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-3717
Practice Address - Country:US
Practice Address - Phone:256-506-6982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)