Provider Demographics
NPI:1225341399
Name:REEVE, KARLEE RAE (LICDC)
Entity Type:Individual
Prefix:
First Name:KARLEE
Middle Name:RAE
Last Name:REEVE
Suffix:
Gender:F
Credentials:LICDC
Other - Prefix:
Other - First Name:KARLEE
Other - Middle Name:RAE
Other - Last Name:GRABLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICDC
Mailing Address - Street 1:615 ELSINORE PL STE 200
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-1457
Mailing Address - Country:US
Mailing Address - Phone:833-510-4357
Mailing Address - Fax:866-460-2997
Practice Address - Street 1:201 N YELLOW SPRINGS ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-2650
Practice Address - Country:US
Practice Address - Phone:833-510-4357
Practice Address - Fax:866-460-2997
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401011973101YM0800X
OHLICDC.162162101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health