Provider Demographics
NPI:1649765041
Name:REECE, DANIE; LOUIS JR
Entity type:Individual
Prefix:MR
First Name:DANIE;
Middle Name:LOUIS
Last Name:REECE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9350 S CIMARRON RD UNIT 1056
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-2512
Mailing Address - Country:US
Mailing Address - Phone:702-250-6954
Mailing Address - Fax:
Practice Address - Street 1:1555 E FLAMINGO RD STE 125
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5259
Practice Address - Country:US
Practice Address - Phone:702-751-4801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty