Provider Demographics
NPI:1548783491
Name:REED THERAPIES LLC
Entity Type:Organization
Organization Name:REED THERAPIES LLC
Other - Org Name:NATHANIEL D REED LCSW LCAC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW LCAC
Authorized Official - Phone:317-294-2336
Mailing Address - Street 1:4535 EASTBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-3368
Mailing Address - Country:US
Mailing Address - Phone:317-294-2336
Mailing Address - Fax:317-816-7001
Practice Address - Street 1:3815 RIVER CROSSING PKWY STE 100
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-7766
Practice Address - Country:US
Practice Address - Phone:317-816-7000
Practice Address - Fax:317-816-7001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-24
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34005577A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN34005577AOtherCLINICAL SOCIAL WORKER
IN87000770AOtherCLINICAL ADDICTIONS COUNSELOR
IN34005577AOtherLCSW