Provider Demographics
NPI:1235534041
Name:REED, JOSHUA (LPCC-S)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:REED
Suffix:
Gender:M
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8920 CHERRYGATE CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45424-1151
Mailing Address - Country:US
Mailing Address - Phone:937-308-6930
Mailing Address - Fax:
Practice Address - Street 1:8920 CHERRYGATE CT
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45424-1151
Practice Address - Country:US
Practice Address - Phone:937-308-6930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-23
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1700242101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2296215Medicaid
OH2296215Medicaid