Organization
LAUREN REEVES COUNSELING PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN REEVES (OWNER)
(352) 317-2619
Entity
Organization
Contact information
Practice address
5447 N MURPHY RD, JAY, FL 32565-1213
(352) 317-2619
(850) 204-1649
Mailing address
5447 N MURPHY RD, JAY, FL 32565-1213
(352) 317-2619
(850) 204-1649
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JP4GD
FL BLUE
FL
Enumeration date
08/31/2017
Last updated
07/25/2024
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