Provider Demographics
NPI:1477909232
Name:REYNOLDS, LLC, KAREN L (LSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:REYNOLDS, LLC
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7939 S ELK WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-4410
Mailing Address - Country:US
Mailing Address - Phone:719-293-0884
Mailing Address - Fax:
Practice Address - Street 1:7939 S ELK WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-4410
Practice Address - Country:US
Practice Address - Phone:719-293-0884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-11
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0009922501101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health