Reichenbach, Brent Adam

Reichenbach, Brent Adam is an individual health care provider with primary practice located at 2311 Fortune Dr , Lexington KY 40509-4264. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Reichenbach, Brent Adam can be contacted via phone (859) 253-1686.

Contact Information

Primary practice address
2311 Fortune Dr Lexington KY 40509-4264
Phone: (859) 253-1686
Fax: (859) 254-2743
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 171 Kentucky

Profile Details

NPI number 1154461408
LBN Legal business name Reichenbach, Brent Adam
Credentials MA, LPCA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154461408 NPPES
Kentucky MEDICAID 30615058

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