CANDACE MATTHEWS REED LPC NPI 1780805275

NPI Information

NPI: 1780805275
Provider Name: CANDACE MATTHEWS REED, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
617 WARD ST E
DOUGLAS, GA
ZIP 31533
Phone: (912) 384-4357
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Candace Matthews Reed, LPC is a professional counselor in Douglas, GA. Candace Matthews Reed, LPC NPI is 1780805275. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

617 WARD ST E
DOUGLAS, GA
ZIP 31533-301
Phone: (912) 384-4357
Fax: (912) 384-4356

The enumeration date for this NPI number is 5/1/2007 and was last updated on 7/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC004795	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003111635A	MEDICAID	GEORGIA
2	20-8848507	OTHER		EIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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