Provider Demographics
NPI:1255661187
Name:REYES, ADELMA R (MS, LMHC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:ADELMA
Middle Name:R
Last Name:REYES
Suffix:
Gender:F
Credentials:MS, LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14391 SPRING HILL DR STE 168
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-8199
Mailing Address - Country:US
Mailing Address - Phone:813-416-6841
Mailing Address - Fax:
Practice Address - Street 1:13719 HUNTING CREEK PL
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-6345
Practice Address - Country:US
Practice Address - Phone:813-416-6841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-25
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7938101Y00000X
FLMH 9542101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor