Provider Demographics
NPI:1033258538
Name:REAMES, RONALD HENRY (LPC)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:HENRY
Last Name:REAMES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 SE MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-2694
Mailing Address - Country:US
Mailing Address - Phone:864-963-4028
Mailing Address - Fax:864-963-5960
Practice Address - Street 1:421 SE MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-2694
Practice Address - Country:US
Practice Address - Phone:864-963-4028
Practice Address - Fax:864-963-5960
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4953101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health