Provider Demographics
NPI:1285519330
Name:REYNOLDS, CHRISTINA NOELLE
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:NOELLE
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 N HOOVER ST APT 2
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-3617
Mailing Address - Country:US
Mailing Address - Phone:845-325-5665
Mailing Address - Fax:
Practice Address - Street 1:1933 S BROADWAY FL 6
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90007-4501
Practice Address - Country:US
Practice Address - Phone:213-763-1537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker