Provider Demographics
NPI:1740829266
Name:ALLISON REICHERT MED LPC LLC
Entity type:Organization
Organization Name:ALLISON REICHERT MED LPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:ALLISON
Authorized Official - Last Name:TAYLOR-REICHERT
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC, NCC
Authorized Official - Phone:314-563-1330
Mailing Address - Street 1:10820 SUNSET OFFICE DR STE 204
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-1030
Mailing Address - Country:US
Mailing Address - Phone:314-563-1330
Mailing Address - Fax:314-315-4896
Practice Address - Street 1:2521 CECELIA AVE.
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63144-2514
Practice Address - Country:US
Practice Address - Phone:314-563-1330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-01
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty