Provider Demographics
NPI:1942675285
Name:REED, PORCHA LURELLE (LPC-S)
Entity Type:Individual
Prefix:
First Name:PORCHA
Middle Name:LURELLE
Last Name:REED
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 N HEATHERWILDE BLVD STE 135
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4190
Mailing Address - Country:US
Mailing Address - Phone:512-988-3533
Mailing Address - Fax:
Practice Address - Street 1:305 N HEATHERWILDE BLVD STE 135
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4190
Practice Address - Country:US
Practice Address - Phone:512-988-3533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-12
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11884101YP2500X, 101YP2500X
TX80887101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional