Provider Demographics
NPI:1679136725
Name:REIGN COUNSELING AND CONSULTING SERVICES, LLC
Entity Type:Organization
Organization Name:REIGN COUNSELING AND CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:MUKUYE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-304-7482
Mailing Address - Street 1:PO BOX 26086
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23260-6086
Mailing Address - Country:US
Mailing Address - Phone:804-304-7482
Mailing Address - Fax:804-262-2600
Practice Address - Street 1:1731 WALL STREET
Practice Address - Street 2:BUILDING A SUITE A 101
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-2075
Practice Address - Country:US
Practice Address - Phone:804-304-7482
Practice Address - Fax:804-262-2600
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REIGN COUNSELING AND CONSULTING SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-15
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty