Reid, Jeanette B

Reid, Jeanette B is an sole proprietor health care provider with primary practice located at 6161 9Th St N Suite 201, St Petersburg FL 33703-1104. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Reid, Jeanette B can be contacted via phone (727) 422-4151.

Contact Information

Primary practice address
6161 9Th St N Suite 201 St Petersburg FL 33703-1104
Phone: (727) 422-4151
Fax: (727) 498-8605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH5489 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 937A Florida

Profile Details

NPI number 1053540583
LBN Legal business name Reid, Jeanette B
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2009
Last updated Jul 6th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053540583 NPPES
Florida Other 677838100 MEDICAID PAC WAIVER
Florida Other 937A MEDICAID PAC WAIVER

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