Provider Demographics
NPI: | 1396619888 |
---|---|
Name: | CLINIC BY REECE |
Entity type: | Organization |
Organization Name: | CLINIC BY REECE |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | PATRICIA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | REECE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PSYD |
Authorized Official - Phone: | 945-253-5195 |
Mailing Address - Street 1: | 1705 LEANDER CT |
Mailing Address - Street 2: | |
Mailing Address - City: | ALLEN |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75002-4862 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 888-562-7818 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1705 LEANDER CT |
Practice Address - Street 2: | |
Practice Address - City: | ALLEN |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75002-4862 |
Practice Address - Country: | US |
Practice Address - Phone: | 888-562-7818 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-09-30 |
Last Update Date: | 2025-10-01 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family | Group - Multi-Specialty |
No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 102X00000X | Behavioral Health & Social Service Providers | Poetry Therapist | Group - Multi-Specialty | |
No | 103TF0200X | Behavioral Health & Social Service Providers | Psychologist | Forensic | Group - Multi-Specialty |
No | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | Intellectual & Developmental Disabilities | Group - Multi-Specialty |
No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy | Group - Multi-Specialty |
No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
No | 221700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Art Therapist | Group - Multi-Specialty |