Individual
TIMOTHY C REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4494 POPPS FERRY RD STE C, DIBERVILLE, MS 39540-2468
(228) 273-5773
(228) 331-0204
Mailing address
16020 FRANKLIN DR, BILOXI, MS 39532-2727
(228) 326-0787
(228) 331-0204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7360
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03981714
—
MS
Enumeration date
08/14/2007
Last updated
08/31/2022
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