Provider Demographics
NPI:1043677354
Name:REED, ALICIA (LPC)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 KERR ST STE 105
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-7804
Mailing Address - Country:US
Mailing Address - Phone:337-678-3132
Mailing Address - Fax:337-678-3139
Practice Address - Street 1:1604 KERR ST STE 105
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-7804
Practice Address - Country:US
Practice Address - Phone:337-678-3132
Practice Address - Fax:337-678-3139
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-19
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5041101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional