Dr. Nicole Reynolds Llc
LBN: Dr. Nicole Reynolds Llc
Dr. Nicole Reynolds Llc is an health care organization with primary practice located at 271 3Rd St , Astoria OR 97103-4311. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Dr. Nicole Reynolds Llc can be contacted via phone (770) 883-3038, or through Reynolds, Nicole Marie via phone (770) 883-3038.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Behavioral Health & Social Service Providers / Health | 103TH0004X |
Profile Details
| NPI number | 1740801455 |
|---|---|
| LBN Legal business name | Dr. Nicole Reynolds Llc |
| DBA Doing business as | |
| Authorized official | Reynolds, Nicole Marie PSYD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2020 |
| Last updated | May 4th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740801455 | NPPES |
| Oregon | MEDICAID | 500732686 |
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