Provider Demographics
NPI:1578445425
Name:REINER, WILLIE A
Entity type:Individual
Prefix:
First Name:WILLIE
Middle Name:A
Last Name:REINER
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 1:310 HIGH ST APT C
Mailing Address - Street 2:
Mailing Address - City:ROXBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27573-5386
Mailing Address - Country:US
Mailing Address - Phone:336-504-8067
Mailing Address - Fax:
Practice Address - Street 1:310 HIGH ST APT C
Practice Address - Street 2:
Practice Address - City:ROXBORO
Practice Address - State:NC
Practice Address - Zip Code:27573-5386
Practice Address - Country:US
Practice Address - Phone:336-504-8067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty