Provider Demographics
NPI:1881268811
Name:REED, DARYA D (LPC)
Entity type:Individual
Prefix:
First Name:DARYA
Middle Name:D
Last Name:REED
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 ENTERPRISE PATH
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-2656
Mailing Address - Country:US
Mailing Address - Phone:404-273-8287
Mailing Address - Fax:
Practice Address - Street 1:538 INDUSTRIAL BLVD N
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-8353
Practice Address - Country:US
Practice Address - Phone:404-273-8287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health