Provider Demographics
NPI:1891065710
Name:LOMBARDI, REINA LYNN (MA, ATR-BC, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:REINA
Middle Name:LYNN
Last Name:LOMBARDI
Suffix:
Gender:F
Credentials:MA, ATR-BC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5272 SUMMERLIN COMMONS WAY STE 602
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-2156
Mailing Address - Country:US
Mailing Address - Phone:239-297-7099
Mailing Address - Fax:888-559-0431
Practice Address - Street 1:5272 SUMMERLIN COMMONS WAY STE 602
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-2156
Practice Address - Country:US
Practice Address - Phone:239-297-7099
Practice Address - Fax:888-559-0431
Is Sole Proprietor?:No
Enumeration Date:2012-01-09
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12643101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013562100Medicaid