Provider Demographics
NPI:1619455227
Name:REED, GAIL L (LAPC, NCC)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:L
Last Name:REED
Suffix:
Gender:F
Credentials:LAPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ADVANTAGE BEHAVIORAL HEALTH SYSTEMS
Mailing Address - Street 2:250 NORTH AVE
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30601
Mailing Address - Country:US
Mailing Address - Phone:706-389-6789
Mailing Address - Fax:706-227-7249
Practice Address - Street 1:ADVANTAGE BEHAVIORAL HEALTH SYSTEMS
Practice Address - Street 2:240 MITCHELL BRIDGE RD
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606
Practice Address - Country:US
Practice Address - Phone:706-389-6789
Practice Address - Fax:706-389-6760
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC006100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional