Provider Demographics
NPI:1235962275
Name:REYES, JAIMEE (LLMSW)
Entity type:Individual
Prefix:
First Name:JAIMEE
Middle Name:
Last Name:REYES
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 VAN HORN RD STE 110
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48183-7000
Mailing Address - Country:US
Mailing Address - Phone:313-474-0953
Mailing Address - Fax:
Practice Address - Street 1:3225 VAN HORN RD STE 110
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-7000
Practice Address - Country:US
Practice Address - Phone:313-474-0953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6851117691104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker