Provider Demographics
NPI:1396406385
Name:REED, JAMES
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:REED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4880 GRIMM DR
Mailing Address - Street 2:
Mailing Address - City:LOCKBOURNE
Mailing Address - State:OH
Mailing Address - Zip Code:43137-9292
Mailing Address - Country:US
Mailing Address - Phone:216-501-7219
Mailing Address - Fax:
Practice Address - Street 1:2020 BRICE RD STE 110
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-3448
Practice Address - Country:US
Practice Address - Phone:614-706-0571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-03
Last Update Date:2023-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.22074841041C0700X, 390200000X
OH101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)