Provider Demographics
NPI:1659126084
Name:REID WELLNESS, LLC
Entity Type:Organization
Organization Name:REID WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:408-506-9833
Mailing Address - Street 1:2980 W SHORE RD STE 6
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-5423
Mailing Address - Country:US
Mailing Address - Phone:401-584-2791
Mailing Address - Fax:401-583-5029
Practice Address - Street 1:2980 W SHORE RD STE 6
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-5423
Practice Address - Country:US
Practice Address - Phone:401-584-2791
Practice Address - Fax:401-583-5029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty