Provider Demographics
NPI:1881927879
Name:REID, LA VOYCE BRICE (LCSW)
Entity type:Individual
Prefix:MS
First Name:LA VOYCE
Middle Name:BRICE
Last Name:REID
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4711 EATON PL
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-2004
Mailing Address - Country:US
Mailing Address - Phone:703-623-0668
Mailing Address - Fax:703-924-1528
Practice Address - Street 1:4711 EATON PL
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-2004
Practice Address - Country:US
Practice Address - Phone:703-623-0668
Practice Address - Fax:703-924-1528
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040039661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical