Provider Demographics
NPI:1497289359
Name:REED, TRINA
Entity Type:Individual
Prefix:
First Name:TRINA
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2165 SPICER CV
Mailing Address - Street 2:SUITE 9
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-5623
Mailing Address - Country:US
Mailing Address - Phone:901-372-7878
Mailing Address - Fax:
Practice Address - Street 1:2165 SPICER CV
Practice Address - Street 2:SUITE 9
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-5623
Practice Address - Country:US
Practice Address - Phone:901-372-7878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-18
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor