Provider Demographics
NPI:1376275941
Name:REED, SAMANTHA JENNIFER (PLMHP)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:JENNIFER
Last Name:REED
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4126 RAYNOR PKWY APT 916
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-6162
Mailing Address - Country:US
Mailing Address - Phone:402-779-9179
Mailing Address - Fax:
Practice Address - Street 1:4126 RAYNOR PKWY APT 916
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68123-6162
Practice Address - Country:US
Practice Address - Phone:402-779-9179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health