Provider Demographics
NPI:1497395420
Name:REINHOLD, BRIANNA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:BRIANNA
Middle Name:
Last Name:REINHOLD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:BRIANNA
Other - Middle Name:
Other - Last Name:SNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:21300 N JOHN WAYNE PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85139-8964
Mailing Address - Country:US
Mailing Address - Phone:623-243-2774
Mailing Address - Fax:
Practice Address - Street 1:21300 N JOHN WAYNE PKWY STE 103
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85139-8964
Practice Address - Country:US
Practice Address - Phone:623-243-2774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-07
Last Update Date:2021-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ18238101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health