Provider Demographics
NPI:1174006811
Name:REECE, KARLEY (LPC)
Entity Type:Individual
Prefix:
First Name:KARLEY
Middle Name:
Last Name:REECE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 N UPTON AVE
Mailing Address - Street 2:
Mailing Address - City:SCHULENBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78956
Mailing Address - Country:US
Mailing Address - Phone:361-220-5501
Mailing Address - Fax:
Practice Address - Street 1:1010 N VON MINDEN ST
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:TX
Practice Address - Zip Code:78945-1222
Practice Address - Country:US
Practice Address - Phone:361-220-5501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75506101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional