Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Social Worker |
104100000X |
| NPI # | 1841785763 |
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| LBN Legal business name | REACH HIGH COUNSELING AND CONSULTING SERVICES , LLC | ||||||||
| Authorized official | DELORES LIVINGSTON - (COUNSELOR/SOCIAL WORKER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/22/2018 | ||||||||
| Last updated | 09/20/2019 - About 7 years ago | ||||||||
| Identifiers |
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