Provider Demographics
NPI:1619565470
Name:REEVES, ELIANA (MS, MFT)
Entity Type:Individual
Prefix:
First Name:ELIANA
Middle Name:
Last Name:REEVES
Suffix:
Gender:F
Credentials:MS, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14119 FLORIDA ROSEMARY DR
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-2442
Mailing Address - Country:US
Mailing Address - Phone:305-297-7454
Mailing Address - Fax:
Practice Address - Street 1:3333 CLARK RD STE 170
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-8435
Practice Address - Country:US
Practice Address - Phone:941-888-2081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist