Provider Demographics
NPI:1508503921
Name:REID, INEZ (MHC)
Entity Type:Individual
Prefix:MS
First Name:INEZ
Middle Name:
Last Name:REID
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 RAVINE AVE APT 1B
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-2379
Mailing Address - Country:US
Mailing Address - Phone:914-409-5777
Mailing Address - Fax:
Practice Address - Street 1:101 RAVINE AVE APT 1B
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-2379
Practice Address - Country:US
Practice Address - Phone:914-409-5777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health