Provider Demographics
NPI:1558595249
Name:REINIS, MEG (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:MEG
Middle Name:
Last Name:REINIS
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:MEG
Other - Middle Name:CAROLINE
Other - Last Name:REINIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMFT
Mailing Address - Street 1:2001 S BARRINGTON AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-5379
Mailing Address - Country:US
Mailing Address - Phone:310-562-6687
Mailing Address - Fax:310-268-1200
Practice Address - Street 1:2001 S BARRINGTON AVE STE 300
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5379
Practice Address - Country:US
Practice Address - Phone:310-562-6687
Practice Address - Fax:310-268-1200
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC46893106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist