Provider Demographics
NPI:1922879964
Name:TIMOTHY A REGER, DMIN, LPC PLLC
Entity Type:Organization
Organization Name:TIMOTHY A REGER, DMIN, LPC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:REGER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:903-785-7410
Mailing Address - Street 1:3605 NE LOOP 286 STE 300
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-5041
Mailing Address - Country:US
Mailing Address - Phone:903-785-7410
Mailing Address - Fax:
Practice Address - Street 1:3605 NE LOOP 286 STE 300
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-5041
Practice Address - Country:US
Practice Address - Phone:903-785-7410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty