Reynierson, Robert

Reynierson, Robert is an individual health care provider with primary practice located at 439 Sw Michigan Street , Lake City FL 32025-0440. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Reynierson, Robert can be contacted via phone (386) 487-0800.

Contact Information

Primary practice address
439 Sw Michigan Street Lake City FL 32025-0440
Phone: (386) 487-0800
Fax: (352) 224-2746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH6152 Florida

Profile Details

NPI number 1093974164
LBN Legal business name Reynierson, Robert
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2008
Last updated Apr 20th, 2016 - about 8 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 1093974164 NPPES
Florida MEDICAID 76207300

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