Provider Demographics
NPI:1689868002
Name:REEVES, MARGARET MARY (LMHC, CAP)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:MARY
Last Name:REEVES
Suffix:
Gender:F
Credentials:LMHC, CAP
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:MARY
Other - Last Name:REEVES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC, ICADC, CAP
Mailing Address - Street 1:2538 NE 41ST AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-5121
Mailing Address - Country:US
Mailing Address - Phone:904-770-8347
Mailing Address - Fax:
Practice Address - Street 1:2538 NE 41ST AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-5121
Practice Address - Country:US
Practice Address - Phone:904-770-8347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLMHC (MHS904)261QM0801X
FL1735101YA0400X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103884Medicaid
FL6103884Medicaid