Provider Demographics
NPI:1700409612
Name:REACH COUNSELING SOLUTIONS, PLLC
Entity type:Organization
Organization Name:REACH COUNSELING SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:B
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC, LCMHC
Authorized Official - Phone:352-875-2295
Mailing Address - Street 1:1776 CONTINENTAL DR UNIT 503
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7283
Mailing Address - Country:US
Mailing Address - Phone:504-224-9959
Mailing Address - Fax:
Practice Address - Street 1:1776 CONTINENTAL DR UNIT 503
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7283
Practice Address - Country:US
Practice Address - Phone:504-224-9959
Practice Address - Fax:504-420-0634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty