Provider Demographics
NPI:1477710374
Name:BAY AREA CONSULTATIONAND ASSOCIATES, LLC
Entity Type:Organization
Organization Name:BAY AREA CONSULTATIONAND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LORIANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, LMFT, CEAP
Authorized Official - Phone:281-286-6011
Mailing Address - Street 1:1560 W BAY AREA BLVD
Mailing Address - Street 2:SUITE 195
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-2667
Mailing Address - Country:US
Mailing Address - Phone:281-286-6011
Mailing Address - Fax:281-286-6043
Practice Address - Street 1:1560 W BAY AREA BLVD
Practice Address - Street 2:SUITE 195
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-2667
Practice Address - Country:US
Practice Address - Phone:281-286-6011
Practice Address - Fax:281-286-6043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX004522106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX095424001Medicaid