Reynolds, David Michael
Reynolds, David Michael is an individual health care provider with primary practice located at 855 S. German Lane #1 , Conway AR 72034-7203. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Reynolds, David Michael can be contacted via phone (501) 358-6606.Contact Information
Primary practice address
855 S. German Lane #1
Conway AR 72034-7203
Phone: (501) 358-6606
Fax: (501) 325-5554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P1104025 | |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P1710360 | Arkansas |
Profile Details
| NPI number | 1356580666 |
|---|---|
| LBN Legal business name | Reynolds, David Michael |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2009 |
| Last updated | Apr 1st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356580666 | NPPES |
| Other | 5AE49 | BCBS |
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