Provider Demographics
NPI:1831653633
Name:REID, MAUREEN (MA, LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:
Last Name:REID
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 BUTTERNUT HILL RD
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18636-8010
Mailing Address - Country:US
Mailing Address - Phone:570-406-4454
Mailing Address - Fax:570-406-4454
Practice Address - Street 1:1145 BUTTERNUT HILL RD
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18636-8010
Practice Address - Country:US
Practice Address - Phone:570-406-4454
Practice Address - Fax:570-406-4454
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-25
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PAPC012734101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health