Provider Demographics
NPI:1053629246
Name:REACH HIGH CONSULTING AND THERAPY, LLC
Entity Type:Organization
Organization Name:REACH HIGH CONSULTING AND THERAPY, LLC
Other - Org Name:REACH HIGH CONSULTING
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:AUDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-606-8840
Mailing Address - Street 1:1501 W TAPP RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47403-3459
Mailing Address - Country:US
Mailing Address - Phone:812-330-4460
Mailing Address - Fax:812-330-4461
Practice Address - Street 1:1501 W TAPP RD
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47403-3459
Practice Address - Country:US
Practice Address - Phone:812-330-4460
Practice Address - Fax:812-330-4461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty