Provider Demographics
NPI:1740464890
Name:REID, ARLENE A (LISW-CP)
Entity type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:A
Last Name:REID
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 SAPELO ISLAND LN
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-6265
Mailing Address - Country:US
Mailing Address - Phone:843-757-4351
Mailing Address - Fax:
Practice Address - Street 1:25 SAPELO ISLAND LN
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-6265
Practice Address - Country:US
Practice Address - Phone:843-757-4351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7231101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health