Provider Demographics
NPI:1841785763
Name:REACH HIGH COUNSELING AND CONSULTING SERVICES , LLC
Entity type:Organization
Organization Name:REACH HIGH COUNSELING AND CONSULTING SERVICES , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:DELORES
Authorized Official - Middle Name:
Authorized Official - Last Name:LIVINGSTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC ,LSW
Authorized Official - Phone:740-381-6758
Mailing Address - Street 1:PO BOX 2561
Mailing Address - Street 2:
Mailing Address - City:WINTERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43953-0561
Mailing Address - Country:US
Mailing Address - Phone:740-346-9227
Mailing Address - Fax:
Practice Address - Street 1:501 WASHINGTON ST STE 205
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952
Practice Address - Country:US
Practice Address - Phone:740-346-9227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-22
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS7605104100000X
OHC1400074101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty