Provider Demographics
NPI:1265706667
Name:REEVES, THELMA (MSW, LCSW, ACSW)
Entity type:Individual
Prefix:
First Name:THELMA
Middle Name:
Last Name:REEVES
Suffix:
Gender:F
Credentials:MSW, LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P O BOX 2785
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36202
Mailing Address - Country:US
Mailing Address - Phone:256-282-1868
Mailing Address - Fax:800-706-9278
Practice Address - Street 1:3131 US HIGHWAY 431
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36206-8302
Practice Address - Country:US
Practice Address - Phone:256-282-1868
Practice Address - Fax:800-706-9278
Is Sole Proprietor?:No
Enumeration Date:2012-03-02
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2330-M104100000X
AL1019-2435C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker