Provider Demographics
NPI:1033896469
Name:REINHART, LAUREN ADELE
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ADELE
Last Name:REINHART
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 1:8308 TEN CENT RD
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-2760
Mailing Address - Country:US
Mailing Address - Phone:813-928-4396
Mailing Address - Fax:
Practice Address - Street 1:501 E KENNEDY BLVD STE 1400
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-5246
Practice Address - Country:US
Practice Address - Phone:813-638-0859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician