Organization
REACH COUNSELING & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HIERS LMHC (OWNER)
(386) 793-9669
Entity
Organization
Contact information
Practice address
4721 E MOODY BLVD STE 204, BUNNELL, FL 32110-7706
(386) 793-9669
(386) 256-1761
Mailing address
4721 E MOODY BLVD STE 204, BUNNELL, FL 32110-7706
(386) 793-9669
(386) 256-1761
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083091471
NPI
FL
Enumeration date
05/05/2019
Last updated
12/12/2019
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